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• <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY I <br /> ADDRESS OR LEGAL: 2 3 8 0 Sl,a d y Ai 0.0 ci ie,,,a d • <br /> PID: 17- I!?-- 2.3 Yy 000(o . <br /> DESCRIPTION OF WORK: S i 9 IA- Perm;i ' <br /> ZONING REVIEW BY: - 4,V,,, DATE APPROVED: 1e/2.?ka, <br /> BUILDING REVIEW BY: .�Y C - DATE APPROVED: to..3 d...to <br /> FEES TO BE CHARGED: • .• • Misc. Fees Calculated By: • <br /> PERMIT • .. 'Yes ✓• No ' <br /> PLAN REVIEW Yes L/ No SEWER CONNECTION <br /> STATE SURCHA.RG E Yes 1/-- No WAi ER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE i. <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units .. •-"OTHER (specify) <br /> • <br /> ZONING CHECK LIST • Zoning District: 8 _ <br /> pi' Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. • Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: 8- 0-2 CC 0 <br /> Proposed Setbacks: iS'9v1 <br /> — <br /> -- —=-- -Front (Lake):: • 0---PIonu,�,_tp. Right sght Side -:=`- ; .._ __-, 7---_ • _ ___ --- <br /> Rear(Street): - . Left Side: <br /> • <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> • <br /> Lot Coverage: <br /> Grading: Staff Approval Date: - - By: Council Approval Date: <br /> • <br /> . Septic: Staff Approval Date: By: . • . <br /> Zoning File: P . . Resolution:# Resolution Date:• • <br /> • <br /> • <br /> v Shoreland District: • <br /> • <br /> +N' Avg. Setback: Bluff Setback: Lot Coverage: <br /> • Existing Proposed • <br /> Hardcover: 0-75' <br /> 75-250' - <br /> 250-500' - - <br /> 500-1000' <br /> • <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> • • Y <br /> REMARKS (in house): • <br /> N... ';:f. 26 <br />