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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '�I n� sTv t�r�s Q R y (2�,�-rJ <br /> PID: <br /> DESCRIPTION OF WORK: �-�c�..�� ('a�6� <br /> --------------------- ---------------------------------------------------- /.�`�v <br /> ZONING REVIEW BY: DATE APPROVED• �1 <br /> BUII.DING REVIEW BY: DATE APPROVED: y- �7' —� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes �/ No SEWER COrfNEC"IION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> -------------------------______------ g---_----____------------------------------------------- ---------- <br /> ZONING CHECK LIST zonin Distnct• ��' �Q <br /> Fire Department: �,� �ct� Post Office: C�•v5 G4tc.�: School District: p2vnr� <br /> � <br /> Lot Area: Sq.ft. 14 `, Z k 5'' Acres �I. 2,1 Width "Z Z C�•S Depth �'70 <br /> Survey Submitted: Yes� No Date of Survey: 4• Z �7( <br /> Proposed Setbacks: <br /> Front(Lake): I S�� '4' Right Side: 2,� � '� N <br /> Rear(Street): 1,�S�� '� Left Side: /s�� <br /> Adjacent Structures: ,�� '�- Wedand: /`��d�' <br /> Building Height: Def. Hgt. ,��� Peak Hgt. (j� �� <br /> Lot Coverage: N �dt <br /> Grading: Staff Approval Date: �—' By: — Council Approval Date: <br /> Septic: Staff Approval Date: '�"� By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: �'�}(� <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 /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />