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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��i U (,3(Low�..► I�✓�.� (�Iv <br /> PID: <br /> DESCRIPTION OF WORK: � ( <br /> ------------------------------------------------ --------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: .S-/�9-� <br /> BUILDING REVIEW BY: DATE APPROVED: J —��� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �' 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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONIl\G CHECK LIST Zoning District: C,2•/✓� <br /> Fire Department: (,c�n., (,q Post Office: �vvt G4iu3 School District: �Y��v <br /> Lot Area: Sq.ft. �v G �Acres Width Depth <br /> Survey Submitted: Yes �C No Date of Survey: DnJ �l-C <br /> Proposed Setbacks: � �(� <br /> Front (Lake): 3�� Right Side: /`� <br /> . � <br /> Rear (Street): (,l,5 Left Side: i$� �S <br /> Adjacent Structures: �-10 � Wetland: N 1�A <br /> Building Height: Def. Hgt. /�1 �✓a Peal:Hgt. — <br /> Lot Coverage: /J �/9 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: /J � � By: – <br /> Zoning File: # � Resolution: # — Resolution Date: — <br /> Shoreland District: �.PS <br /> Avg. Setback: c�•t� Bluff Setback: /�/ //a- L.ot Coverage: U.(C <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> zso-soo� D-(�, <br /> soo-i000� <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />