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• ._ � <br /> f �. ` ♦ <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z f 0� s v b Wn/L w o c�� S �2 <br /> PID: <br /> DESCRIPTION OF WORK: �e uc <br /> ZONING REVIEW BY: DATE APPROVED: S-i�• ov <br /> BUII..DING REVIEW BY: DATE APPROVED: S-�a•ou <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/" No <br /> PLAN REVIEW Yes ✓ No SEWER CONNEC"TION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No� PARK FEE <br /> SAC Yes No � ' " STTEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: R -1 A <br /> Fire Department: Lorv� �c,� Post Office: ��S lktr.c.' School District: p.t,on�c� <br /> � <br /> Lot Area: Sq.ft.Lo�Acres Width Depth <br /> v- <br /> Survey Submitted: Yes 1C No Date of Survey: Y �3 S <br /> Proposed Setbacks: � <br /> Front(Lake): �3 Right Side: (40` <br /> Reaz(Street): I 3� � Left Side: �0� <br /> Adjacent Structures: /4�17�+Gt�cc� Wetland: N(A <br /> Building Height: Def. Hgt. �./�. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> •P,• Shoreland District: <br /> �11 Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />