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CHECK On' LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ( 7 UO S' % )/ t" i2c-% <br /> PID: <br /> DESCRIPTION OF WORK: Two wolf fide(+ k ov-,S <br /> ZONING REVIEW BY: --_____�✓- DATE APPROVED: (( - I — O� <br /> BUILDING REVIEW BY: 4 DATE APPROVED: ( I - 1 (7 u <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes V No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC.Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: - lA <br /> Fire Department: Post Office: School District: <br /> • <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: ON Fuss <br /> Proposed Setbacks: ‘-h • <br /> Front(Lake): n Right Side: S01- <br /> Rear <br /> dtRear(Street): VI Or Left Side: i/1 ft <br /> Adjacent Structures: j/1 { Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. — <br /> Lot Coverage: /1 A <br /> Grading: Staff Approval Date: /l/A- By: ' ( Council Approval Date: <br /> Septic: Staff Approval Date: / 7 -9 3, 0(0 By: W V,/ <br /> Zoning File: # ✓ Resolution: # Resolution Date: <br /> Shoreland District: y e3 Lot Coverage:Avg. Setback: Nh Bluff Setback: o./(� <br /> Existing Proposed <br /> Hardcover: <br /> —/-SSB.` <br /> ' fr 300-` <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE` ARKS (inhouse): PRY-A(cae-✓ C�I� 5 wp;�ecl tot c s� o� svwpll <br /> �Hc�sF � GUU cn�2. <br /> 5(7 z 0( (Ad -/Ack P'�GP�"`� be nitc� tv Ivo - 1 . 7 <br /> -Pro •c -}-1:5 5(AAA- e_c owe., c,o e ?AA Io,,Com' <br />