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; • <br /> t� � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: �(S55 LuAyz./-►� at.v� <br /> � PID: <br /> DESCRIPTION OF WORK: Po�E (3Ai2rv <br /> ---------------------------------------- ------ ---------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: !► . (5-o Z <br /> BUILDING REVIEW BY: DATE APPROVED: ��_ , s -o z. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECT'ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres �c� � Width ,��v ' L' Depth i,2�3•�3 <br /> Survey Submitted: Yes�_ No Date of Survey: 5_� .o�$ <br /> Proposed Setbacks: <br /> Front (Lake): Z.00 Right Side: �jo �wNy� N.p,�s � <br /> Rear (Street): l2o Left Side: Z,�p 5�6� �`''�� S� � <br /> �cGe SS�'t'', ST7Wc r�ac <br /> Adjacent Structures: 5'-�' Wetland: i oo' +� <br /> �v�� <br /> Building Height: Def. Hgt. 11� Peak Hgt. <br /> Lot Coverage: N�/�' <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: /v v <br /> Avg. Setback: Bluff Setback: Lot 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 /> 7 <br />