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T <br /> � CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �/�!� �.��_ ,,_r.�� <>_� _r�-Y� ,3�`,'!� <br /> Pm: "�-;�.�� - � � � � �� � :� <br /> DESCRIPTION OF WORK: �� ��-�-��l� �'_��_�_��- � <br /> _�___________ _ - ------------------------------------------------------ <br /> ZO�TING REVIE`V BY: DAT'E APPROVED: Z-��-�t�b <br /> BUII�D iNG REVIEW BY: DATE APPROVED: Z�c�- 99 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: . <br /> PERMIT Yes ✓ No <br /> pLAN REV�W Yes ✓ No SEWER CONNECTTON <br /> STATE SUR�HARG� Yes � No WATER CONNECTION <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOi�tING CHECK LIST Zoning District: 2-1 I� - <br /> Fire Deparoment: 1�n1� �tC.� Post Office: �.29Nf� l,4lur School District: C�2-t�N O <br /> Lot Area: Sq.fr. 3�,b�'-? Acres •��S �Vidth 1 lo� Depth Z�35` AvL <br /> Survey Submitted: Yes X No Date of Survey: 4� -(5 -9� <br /> Proposed Setbacks: , � ,� <br /> Front (Lake): . I (5 }' Right Side: 3b <br /> r �., � .}- <br /> Rear(Street): �l3 Left Side: 9 Z <br /> Adjacent Structures: A"�C�lf C?'J Wetland: N(r0 <br /> Building Height: Def. Hgt. C��(�. Peak Hgt. — <br /> Lot Coverage: 0•��- <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: _ <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> �` �� - Ezisting Proposed <br /> �., <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' ' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: _ <br /> gEI�ZARKS (in house): - <br /> . 26 � <br />