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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE ZISE ONLY <br /> ADDRESS OR LEGAL: <// 43 5 .Si x n� .g v�e /V'. <br /> PID: <br /> DESCRIPTIONOF WORK: /+Dp��o� <br /> ZONING REVIEW BY: ,� DATEAPPROVED: � _g{>� <br /> BUILDING REVIEW BY: DATEAPPROVED: �y o` <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLANREVIEW Yes�� No SEWER COIVNECTION <br /> STATE SURCHARGE Yes ✓ No WATER COIVNECTION <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: 2lL� 1 K1 <br /> Fire Department: Post Off ce: School District: <br /> Lot Area: Sq.ft. �1� 2`�� Acres �•��- Widtla Depth <br /> Survey Sarbmitted: Yes�_ No Date of Su�vey: o c,'�' 4, Zo o Z <br /> Proposed Setbacks: � <br /> Front(Lake): �j0 � Right Side: —1 y ' <br /> Rear(Street): � °� � Left Side: I`l L�f <br /> Acljacent Structures: �7T�t��e� Wetland: it//A� <br /> Bc�ilding Heiglzt: Def.Hgt. m�� Peak Hgt. -- <br /> Lot Coverage: N/� <br /> Grading: StaffApproval Date: —' By: Council Approval Date: <br /> Septic: StaffApprov�l Date: -- By: <br /> Zoning File: #D6'"'3l lo� Resolution: # Resoltetion Date: Z-�3 -��. <br /> Shoreland District: /U� <br /> Avg. Setback: BluffSetback: LotCoverage: <br /> Existing Proposed <br /> Hurdcove�:• 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Yariance Req�eired: Yes No Dute of Council Approvul: <br /> REMARKS(in house): <br /> 33 <br />