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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 314'�S S�y-n-� Av t, yvoR1� <br /> PID: � � <br /> DESC�IPTION OF WORK: ��-�c t-� �.� C�A(L46c: <br /> . <br /> ZO.�iPi 1G REV�W BY: DATE APPROVED: 8' •23-ot <br /> BUILDING REVIE`V BY: DATE APPROVED; g-Z3 ��1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes _� No <br /> PLA1�T REVIEW Yes ,�- No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning District: QQ•1(� <br /> Fire Department: (�ont b (.q�tu� Post Office: School District: p�CNa <br /> Loc Area: Sq.ft. �1, SSO.d 3 Acres Z Width 3�1.3'-I Depth 23S. �� r4v.� <br /> Survey Submitted: Yes � No Date of Survey: o K F=�t.�S <br /> Proposed Setbacks: <br /> Front(Lake): l g6� �' Right Side: 2o3't <br /> Reaz(Sueet): �{,' # L,eft Side: �� ,� f. <br /> Adjacent Structures: �12,' Wetland: N �� <br /> Building Height: Def. Hgt. _ d.)c-- Peak Hgt. — <br /> Lot Coveraae: 0•1�- <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: �- By: <br /> Zoning File: # '" Resolution: # Resolution Date: <br /> Shoreland District: N b <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hudcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�.S(in house): <br /> � <br /> 7 <br />