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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 2& t_ v c c:z,(2)(_7(Z 1--1 1 L-�--5 <br /> PID: <br /> DESCRIPTION OF WORK: 0 :C <br /> ZONLNG REVIEW BY: ��J DATE APPROVED: 10 2- C2 0 <br /> BUILDING REVIEW BY: / � - DATE APPROVED: , o - t 2- -c.20 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ( No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No WAl"ERCONNECIION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No S[1 hINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONLNG CHECK LIST Zoning District: (L 2 - 1 <br /> Fire Department: (.,,N tp (At c-C Post Office: Cmn.35l. ,-t,k School District: p( SD i C) <br /> t 2(Lcz�o <br /> Lot Area: Sq.ft. ,ate S i ((X1-) Acres 1 .1S(0 Width MISOM Depth <br /> Survey Submitted: Yes be_ No Date of Survey: ib-44-( o <br /> Proposed Setbacks: <br /> Front(Lake): (Q5 ' �- Right Side: 36` <br /> Rear (Street): 236' t Left Side: -1 S <br /> Adjacent Structures: Ai-t1OC., Wetland: N ( <br /> Building Height: Def. Hgt. i/ l/1- 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 /> Shoreland District: N 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 />