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:� <br /> , ` CHECK OFF LIST FOR IS�UANCE OF PERMITS <br /> FOR OFFICE US ONLY <br /> ADDRESS OR LEGAL: � <br /> PID: OLA = - Z3 2 :W = p � <br /> DESCRIPTION OF WORK: `71:2<<,J ' . <br /> ------- -----------------------------------------------?'-----�---- <br /> ZONING REVIEW BY: DATE APPROVED: t �� <br /> BUILDING REVIEW BY: c�' DATE APPROVED: 4 -2-°t-�'i 1 <br /> FEES TO BE CHARGED: Misc Fees Calculated By:,,�✓M �G� w- <br /> PERMIT Yes ,r No <br /> PLAN REVIEW Yes v No SEWER CONNECTTON <br /> STATE SUR`HARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGAT'ION FEE Yes No PARK FEE <br /> SAC Ycs No Y SITEINSPECTION <br /> Number of SAC Units 7�� OTHER (specify) <br /> ZONING CHECK LIST Zoning District: �/�—J� <br /> Fire Department: Post Office: �1/�o��,p School District: 1i(,�,�,,,�.� <br /> � ► <br /> Lot Area: Sq.ft. PL�,«o� Acres Q, Width J`� Depth �.s � <br /> Survey Submitted: Yes�_ No Date of Survey: -� <br /> Proposed Setba�ks: / � / � <br /> Front (Lake): �� Right Side: 5 � � <br /> r � <br /> Reaz(Street): �� 2�0 "!`' Left Side: A1 �, 3 <br /> r <br /> Adjacent Strucriues: t Wetland: -- <br /> Building Height: Def. Hgt. �- Peak Hgt. p� <br /> 0 <br /> Lot Coverage: o <br /> Grading: Staff Approval Date: 'Z�a- !7 By:� Council Approval Date: �" <br /> Septic: Staff Approval Date: � By: -- <br /> 3g�18 SuB� <br /> Zoning File: # 22-77 Resolution: #3qYp vaG Resolution Date: g� <br /> `�� 39�3 i/.� <br /> Shoreland Dis��ict: <br /> Avg. Setback: (��_ Bluff Setback: LotCoverage: ,C> � e <br /> Existing Proposed <br /> Hardcover: 0-75' � ��� <br /> 75-25�� •a �p( �'Z/o 0l�- <br /> 250-500' O O <br /> 500-1000' -- -- <br /> Hardcover Vaziance Required: Yes� No Date of Council Approval: �7'?�—! � <br /> REMARKS(in house): <br /> � 26 <br />