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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: 3Zn� �G3�1� S 1�J�- iZo�✓.� <br /> PID: <br /> DESCRIPTION OF WORK: �2 c t-� <br /> --------_ • _____------- - <br /> ZO�G REVIEW BY• DATE APPROVED: 8-14� -9`i <br /> BUILDI�IG REVIEW BY: DATE APPROVED; � -►� �S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/� No <br /> PLAN REVIEW Yes �/ No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ------------------------------------------__---_------------------------------------------------------------------- <br /> ZO�tIlVG CH�CK LIST Zoning District: C.lL- //-� <br /> Fire Department: (arv� (��c.�: Post Office: (�n�c� llllC.� School Disuict: Q I?O� 0 <br /> Lo[Area: Sq.ft. `-1�j,U o S Acres �, 1 Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): ( �-`'t Right Side: �5�� <br /> Rear (Street): 2, ��53''�- Left Side: ( (�O` <br /> Adjacent Structures: /4�Tv}-�GI-� Wetland: /✓/� <br /> Buildin; Height: Def. Hg[. O. �C Peak Hgt. <br /> Lot Coverage: /v�/� ' <br /> Grading: Staff Approval Date: — By: � Council Approval Date: � <br /> Septic: Staff Approval Date: — By: — <br /> Zoning File: # Z y(� 3 Resolution: # Resolution Date: <br /> Shoreland District: ��eS <br /> Avg. Setback: c�.(� Bluff Setback: (� ,�' L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' ��(,� <br /> 250-500' <br /> 500-1000' <br /> Hudcover Vaziance Required: Yes No � Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />