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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDItESS OR LEGAL: ��C� IUc�(��� (3(2.�w�l f7�oA,� <br /> PID: <br /> DESCRIPTION OF WORK: Q�1� �2�, Pc%4c.c.M��r <br /> ZOr'Pi iG REVIEW BY: DATE APPROVED: g- I�{ -o � <br /> BUII.DI�i tG REVIEW BY: - - — DATE APPROVED: pg -�K-01 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes _� No <br /> PLAI�t REVIEW Yes f No SEWER CO�TNECITON <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: L2-I/} <br /> Fire Department: � Post Office: r School District: pljp IV O <br /> L.ot Area: Sq.ft. /vo C(fJ�G,C Acres Width Dep�h <br /> Survey Submitted: Yes �— IVo Date of Survey: �N H(.�.5 <br /> Proposed Setbacks: <br /> ..F'�eaE (Lake): �{2'S' Right Side: v sp' t <br /> 8ea�-(Street): (o�� `4' Left Side: l��' <br /> Adjacent Structures: /�-777qGN.�.� Wetland: /V/�9 <br /> Building Height: Def. Hgt. 0.��- Peak Hgt. c���G <br /> Lot Covera�e: — /V/i4 <br /> Grading: Staff Approval Date: ^! (/� By: Council Approval Date: <br /> Septic: Staff Approval Date: /�(/i By: <br /> Zoning File: # ---- Resolution: # � Resolution Date: <br /> Shoreland District: �./-PS <br /> Avg. Setback: O.(� Bluff Setback: /`��/� I.ot Coverage: iv/�} <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' O.IC <br /> 250-500' <br /> 500-1000' <br /> Hardcove� Variance Required: Yes No�L_ Date of Council Approval: <br /> RENiARKS (in house): _ <br /> 7 <br />