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� � 1 <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: yY0 sr��S BAy 2oAa <br /> PID: <br /> DESCRIPTION OF WORK: N cw /1.�5 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: q-z.2-oy <br /> BUILDING REVIEW BY: DATE APPROVED; � -zz-o�t <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 CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units �T,� ,�R,,�.--p, OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: '7• 2,c�• o�l <br /> Proposed Setbacks: <br /> Front (Lake): 1 'Z2 Right Side: �f S•� � <br /> Rear (Street): f��� � * Left Side: /Sa � <br /> Adjacent Structures: N /H Wetland: �9' } <br /> Building Height: Def. Hgt. 3 O Peak Hgt. 3 9•S <br /> Lot Coverage: N/A <br /> Grading: Staff Approval Date: '� -22 • �y By: � Council Approval Date: <br /> Septic: StaffApproval Date: "�-z2 —o ti By: � <br /> Zoning File: # — Resolution: # -- Resolution Date: -- <br /> Shoreland District: N c� <br /> Avg. Setback: Bluff Setback: L o t C o v e r a g e : <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 />