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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y+�l 0 (�t(� �S�..v4�v� <br /> PID: <br /> DESCRIPTION OF WORK: M o�� o�� t-��s2 �4v iv�� C�o c,�r,,�v� <br /> _---_---_-- - -- -- -----------------------------------------Y ZS------- <br /> ZO.vI�1i G REV�W BY: � � ' DATE APPROVED: ..� 2 <br /> BUII.,DING REVIEW BY: --- DAT'E APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�VIIT Yes �/ No <br /> PLAi�1 REVIEW Yes No .�- SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING C�CK LIST Zoning District: /2-S <br /> Fire Department: Post Office: School Districr. <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes �C No Date of Survey: `1•3�-�'+�j <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> sv '+ -� coT ���es <br /> Rear(Street): Left Side: <br /> Adjacent Structures: �o' -� Wetland: N �/'r <br /> Building Height: Def. Hgt. O.(c Peal:Hgt. ��i� <br /> Lot Coverage: � //-� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: �I- Z�--� 'z- By: ���c,� <br /> Zoning FIle: # — Resolution: # Resolution Date: <br /> Shoreland District: �q�CS <br /> Avg. Setback: ��� Bluff Setback: /'U�� L.ot Coverage: I✓�A <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' �•j� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />