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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: 7 Z 5 s��c « �v rc N c� <br /> PID: <br /> DESCRIP'I'ION OF`�ORK: G o�� G�v!� <br /> ZO�iVG REV�W BY: DAT'E APPROVED: �� —q � <br /> BUII..DING REV�W BY: DATE APPROVED: S - �- 4'Q� <br /> F`EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REV�W Yes ✓ No SEWER CONNEC"ITON � <br /> STATE SUR`HARGE Yes ri No WATERCONNECTTON 'I� <br /> INVESTIGAT'ION FEE Yes No v- PARK FEE ; <br /> SAC Y::s No v SITEINSPECTION � <br /> Number of SAC Units OTHER (specify) ', <br /> -------- __---_____----------------------------------------------------------- � <br /> I', <br /> ZONING CHECK LIST zoning District: �— I (i 1 , <br /> Fire Department: N c,t_ Post Office: �N�(J1rtc.cj School District: �f�/�D i <br /> I <br /> Lot Area: Sq.ft. ►vo c�,�.ru��Acres 23 .21� Width Depth i <br /> Survey Submitted: Yes�o ,_ No Date of Survey: � <br /> Proposed Setbacks: , ; <br /> Front (Lake): _ �� "� Right Side: N/� � <br /> I <br /> Rear (Street): z 6� •o�.- Leh Side: �'`���" <br /> I <br /> Adjacent Structures: NfP Wetland: ��- � <br /> � <br /> Buildin� Heigh[: Def. Hgt. d� (L Peak Hgt. 0,l� ' <br /> I, <br /> Lot Coverage: N�� I <br /> I <br /> Gradin�: Staff Approval Date: .��?-g � By: -�• Council Approval Date: <br /> � <br /> Septic: Staff Approval Date: '`�/ By: _ �, <br /> Zoning File; # Resolution: # Resolution Date: � <br /> Shoreland DisL-ict: �� <br /> Avg. Setback: Bluff Setback: I.otCoverage: <br /> � Eziscing Proposed <br /> Hardcover: 0-75' ' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE1l�IARKS (in house): <br /> • 26 <br />