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� � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ����G `_���i_�;, (.��L��_- <br /> PID: ��� � /i�� - �; .� � -;���'�s <br /> DESCRIPTIONOFWORK: ����:� � ���(' -y, :�����-�.�_. <br /> ------------------------------------------- ----------------- ---------------------------------------------------------- <br /> ZONING REVIEW BY: �c �w-- DATE APPROVED: ( �� 3 `�� <br /> BUILDING REVIEW BY: �.�.. �G,�,,..,�� DATEAPPROVED: , Z- 3 ti � <br /> ------------------------------------------�---------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �s' No <br /> PLAN REVIEW Yes �� No SEWER CONNECTION <br /> STATE SUR:I�ARG�. Yes �" No WATER CONNECTION <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ONING CHECK LIST zoning District: <br /> Fire Department: Post Office: School District: <br /> � <br /> �tk�J Lot Area: Sq.ft. Acres Width Depth <br /> ;, <br /> Survey Submitted: Yes ;� No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): i ( Z i '� Right Side: 3-% ` <br /> Rear (Street): � 3`' = Left Side: v � � �'= <br /> Adjacent Structures: /�?T1�t:�f�-��%l Wetland: dIIJ F�' <br /> Building Height: Def. Hgt. t�� Peak Hgt. a"� <br /> Lot Coverage: � '(L <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: 1t Resolution Date: <br /> Shoreland Dist:ict: <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 /> REMARKS (in house): <br /> � 26 <br />