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� • CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I S z s �3A vR�d�c: iZ��� <br /> PID: <br /> DESCRIPTION OF WORK: A�� �-n ��s <br /> ZOVT�i G REVIEW BY: DATE APPROVED: �- z�d -o Y <br /> BiTII.DING REV�`� BY: DATE APPROVED: i - z� - o�{ <br /> F EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNfIT Yes �� No <br /> PLA�Y REVIEW Yes _� No SEWER CO�INECTTON <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <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: L/1-//a <br /> Fire Department: Post Office: School Disuict: <br /> LotArea: Sq.ft. �?,377 Acres .�5g Width iz� Depth <br /> Survey Submitted: Yes c No Date of Survey: t l-?.8•�3 <br /> Proposed Setbacks: <br /> Front (Lake): �Zc�� t Right Side: � � � <br /> Rear (Street): I 43b� + Left Side: I�� <br /> Adjacent Structures: N��t �Vedand: N (P <br /> Building Hei;ht: Def. Hgt. c�.l� Peal:Hgt. — <br /> Lot Coverage: o •I� <br /> Grading: Staff Approval Date: N 1� By: — Council Approval Date: — <br /> Septic: Staff Approval Date: n► �/-� By: <br /> Zoning File: # ��1-2��O Resolution: # Resolution Date: /- z 6- o�-/ <br /> Shoreland District: v CS _ <br /> Avg. Setback: �ra(L�,�,,re� Bluff Setback: rv I� I.ot Coverage: e .fC <br /> ExistinQ Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' Z�'�� <br /> 250-500' - <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />