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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: 1`1�3 G'i�y ���'�L=� �=�-� <br /> PID: <br /> DESCR�'I'ION OF WORK: �p,� ; n c;d•.% <br /> _--____ ------�..— --------------------------------------------------------- <br /> ZONING REVIEW BY: J ' . DATE APPROVED: �-�� i' � <br /> BUII.,DING REVIEW BY: �•— DATE APPROVED: �} -�� �� <br /> � <br /> - ------- ------ , --------------------------------- -------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �-^ No SEWER CONNECTION <br /> STATE SUR`HARCr� Yes �/" No WATER CONNECTTON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ____ _----------------- `I - ------------- <br /> ZONING CHECK LIST Zoning District: G� A <br /> Fire Department: �+1{y7�€�TY� Post Office: i,v+�y Z�-i'ri School District: �;,��;�;r� <br /> Lot Area: Sq.fc. �t�t, ��'1 Acres d t�f Width i t;+.: t- Depth �i �f�_���� �'' <br /> Survey Submitted: Yes_� No Date of Survey: 9 -1��_`� <br /> Proposed Setbacks: � <br /> F�eat (Lake): Z`.�C� "}= Right Side: i O` <br /> �eet (Street): �`'f�'� � Lefr Side: -7 S� <br /> Adjacent Structures: ,4T'TYkc:.,�-�c:� Wetland: ,� ,'r� <br /> Building Height: Def. Hgt. v- (� Peak Hgt. Ci•l� <br /> Lot Coverage: J•(� <br /> Gradi.ng: Staff Approval Date: � -Z`4 �% 7 By: �`� Council Approval Date: <br /> Septic: Staff Approval Date: �t-�� � /� By: <br /> Zoning FIle: # Z�-'�,`� Resolution: # 3 U-�� Resolution Date: I �-1 l -�+ 5 � <br /> Shoreland Dis�-ict: �5 _. <br /> Avg. Setback: �. �� Bluff Setback: ^,' �/� LotCoverage: � C�,� <br /> � Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 2��� <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes� No Date of Council Approval: j Z-��-`1'� <br /> REMARKS (in house): <br /> • 26 <br />