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} <br /> ` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> - FOR OFFICE USE ONLY <br /> �� ADDRESS OR LEGAL: 4�S�S s�x-r-t-a f�,v� /U <br /> PID: <br /> DESCRIPTION OF WORK: �J�o��n o N <br /> ZONING REVIEW BY: DATE APPROVED: f r• 2,6 -02 <br /> BUII.DING REVIEW BY: �,�G DATE APPROVED: �/- 26 •vZ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �� No SEWER COrfNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: /t9-Y•o Z <br /> Proposed Setbacks: <br /> Front(Lake): �{6.7 Right Side: 12� <br /> Reaz(Street): 9"1' t. Left Side: �S� <br /> Adjacent Structures: /�.7T�9c.trr� Wetland: N!!4 <br /> Building Height: Def. Hgt. p,� Peak Hgt. O.� <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: ^ By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: #� Resolution: # Resolution Date: 11-2 S-n 2 <br /> Shoreland District: /Va <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing 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 /> REMARI�S(in house): fLt-3o s�c�e•Q � <br /> 7 <br />