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CHECK OFF LIST FOR ISSUAl�tCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 137(� f3�(.,�:R (�rA2\� <br /> PID: <br /> DESCRIPTION OF WORK: �i4K,4�� r+�o,o� n�� <br /> ZO�tI�11G REVIE`V BY: DATE APPROVED: 4- �- o s <br /> BUILD�G REVIEW BY: DATE APPROVED: 9 _� - o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes _� No SEWER CONiVECTION <br /> STATE SURCHARGE Yes �/ No WATERCONI�'ECTION <br /> INVESTIGATION FEE Yes No c/ PARK FEE <br /> SAC Yes No �� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONPiG CHECK LIST Zoning District: L,2-I L <br /> Fire Department: Post O�ce: School District: <br /> L,ot Area: Sc.ft. �Z,1 Z l. Acres . Z� Width Depch <br /> Survey Submitted: Yes �i _ No Date of Survey: ��- Z`i-oW <br /> Proposed Setbacks: � 5 <br /> Front (Lake): S° 56 Right Side: !'c� <br /> Rear (Street): ,N �r9 Left Side: (2 <br /> Adjacent Structures: � �} Wetland: NIA� <br /> Building Height: Def. H;t. l9��� Peal:Hgt. r <br /> Lo[ Coverage: ►S�lo <br /> Grading: Staff Approval Date: — By: Council Approval Date: — <br /> Septic: Staff Approval Date: � By: <br /> Zonin� File: # os•3i3�d Resolution: # Resolution Date: Pj • ��-�S <br /> Shoreland District: ��105 <br /> Av�. Secba� n//� Bluff Setback: r��ff LotCovera�e: i��Ia <br /> Ezistin� Proposed <br /> Hardcover: 0-7�' 3�� 32.� <br /> 7�-250' 3►.y z`�•S <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes �C No Date of Council Approval: {� �9-OS <br /> R�Ei�iARKS (in house): <br /> � <br />