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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /�/Y y ��9�r�E/z /�/��21C /Zo� <br /> PID: <br /> DESCRIP'TION OF WORK: �vL�—W �Z� S <br /> ZO.�.�'G REV�`V BY: DAT'E APPROYED: S- �5 -o y <br /> BUII.,DING REVIE`V BY: DAT'E APPROVED; � – �� - �y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�v1IT Yes � No <br /> PLA1�T REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,/ No WATERCOivNECITON <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ./ SITEINSPECTION <br /> Number of SAC Units ti'/l,},�,,�,�,�}ftie� ��^ OTHER (specify) <br /> -----------------------------------------------��-�±�w------------------------------------------------- <br /> ZONING CHE.CK LIST Zoaing Districc: L2- /c <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. �bp� Acres .I`1� Widch y7 Depth <br /> Survey Submitted: Yes_� No Date of Survey: /-27� �y <br /> Progosed Setbacks: <br /> Front (Lake): 1�� f Right Side: In. ( <br /> Rear (Street): 30' +' Left Side: W <br /> Adjacent Structures: I�I f� �Vetland: N I� <br /> Building Hei;ht: Def. Hgt. Z8 •7 S Peal:Hgt. 3�� <br /> Lo[ Coverage: i <br /> Grading: Staff Approval Date: 5-i�{- v�( By:�i z((0`j�Council Approval Date: <br /> Septic: Staff Approval Date: /� (A By; <br /> Zoning File: #0�/•2��� Resolution: # S/`'�0 Resolution Date: 3 - ZZ- oy <br /> Shoreland District: u.PS <br /> Avg. Setback V,�� Bluff Setback: — L.otCoverage: — <br /> Ezisting Proposed <br /> Hardcover: 0-75' a D <br /> 75-250' y -Q <br /> 250-SQO' <br /> 500-1Q00' <br /> Hardcover Variance Required: Yes� No Date of Council Approval: 3'ZZ- o <br /> REI�ZARKS (in house): <br /> 7 <br />