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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: '? c <�-� � z�° - . L, <br /> PID• !' ; 1 ?L - _ ``� �5�'c_ � ='`,�-,z <br /> . � .., . <br /> _ .. <br /> DESC ION OF WORK: �� !► L�Z�z_'<i`*I C�:`\,; - � -�'�� f-" � "r,<<� >, t�- <br /> ---------------------------------------------h---------------------------- • ' .. <br /> ------------------------------ ----- ---- <br /> ZONIl�tG REVIE�V BY: ��Z���� DATE APPROVED• C.s-- �� l <br /> BUII..DING RE`VIEW BY: DATE APPROVED: <br /> --------------------------------------------------------------------------------- <br /> -------- �---L --------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By:� — <br /> PERMIT Yes ✓w' No <br /> PLAN REVIEW Yes No _� SEWER CONNECI'ION <br /> STATE SUR�HARG�� Yes No i WATER CONNECTION <br /> INVESTIGATION-FEE Yes No � PARK FEE <br /> SAC Yes No �=' SITEINSPECTION <br /> Number of SAC Units �- OTHER (specify) <br /> -------------------------------------------------------�-V-------7-�, �. / ' -------------------------------- <br /> ZONING CHECK LIST Zoning District: - '�� I ��'�'�, t_� � <br /> / %, <br /> Fire Department: G— , Post Office: ` '� '��. School District: �- "�� <br /> Lot Area: �. c.� t / �� �-' Acres Width Depth <br /> Survey Submitted: Yes T� No Date of Survey: <br /> Proposed Setbacks: , <br /> Front (Lake): " Right Side: <br /> Rear(Street): �'� Left Side: `� <br /> Adjacent Structures: ` Wetland: ` <br /> Building Height: Def. Hgt. "` Peak Hgt. - <br /> Lot Coverage: — <br /> / �. � � -- � <br /> Grading: Staff Approval Date: (��'` � � � By:;�,� Council Approval Date: � �� ����� <br /> Septic: Staff Approval Date: --�- By: - <br /> .,,� ('� � ---��-a �� •=��_ �� � <br /> Zoning File: #G-�--�' Resolution: �# _j�� � Resolution Date: �•' �7 <br /> Shoreland Dist:ict: 'y�.:. S <br /> Avg. Setback: �,--� Bluff Setback: %��'1��S�'l LotCoverage: ./�� <br /> Exis[ing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> -,�-- �--- <br /> Hardcover Variance Required: Yes No X Date of Council Approval: y_ <br /> REMARKS (in house): <br /> • 26 <br />