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,►. . <br /> + CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: >�!2 S Q�►y �i/J��� �o� <br /> PID: <br /> DESCRIPTION OF WORK: <�,q.-�,a�e �r�� r-�,�! ���� ��a-co P m�ro L���-ct,�/�/�P <br /> ZONING REVIEW BY: DATE APPROVED: (y -/r-4 5 <br /> BUILDING REV�W BY: DATE APPROVED: � •� r �j 5 <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L�`1a <br /> Fire Department: ct� Post Office: �,.�,�►�- School District: v n�� <br /> Lot Area: Sq.ft. nN G�.I�ar�,c,,[ Acres — Width — Depth - <br /> Survey Submitted: Yes�_ No Date of Survey: 3- �5 -�t(o <br /> Proposed Setbacks: � � <br /> Front (Lake): I(o5 't Right Side: � 3n � <br /> Rear (Street): Z�5�} Left Side: b 3� { <br /> Adjacent Structures: �-;�T,�o,c�t,� Wetland: � �i4 <br /> Building Height: Def. Hgt. �✓� Peal:Hgt. d �L. <br /> Lot Coverage: O ,(�� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y2 5 <br /> Avg. Setback: �./L Bluff Setback: — Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> �5-250' b.(� <br /> 2so-soo� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No o� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />