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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 Z�� �A�r 5 t�+� �� <br /> PID: <br /> DESCRIPTION OF WORK: S�� <br /> --------------------------------------- ------- ---------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: �- Z� -�Z�i <br /> BUILDING REVIEW BY: DATE APPROVED: 7_ 2�3 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes � No SEWER CONNECTTON <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: � 2--�/l� <br /> � Fire Department: Post Office: School District: <br /> � t Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes �L No Date of Survey: drr f=r� <br /> Proposed Setbacks: <br /> Front (Lake): �(,�` '+ Right Side: STc�31 S i� S�� <br /> Rear (Street): �(�$� t I.efr Side: 'I l��8 <br /> Adjacent Structures: ZS� Wetland: N �� <br /> Building Height: Def. Hgt. (9.�- Peal:Hgt. — <br /> Lot Coverage: /V(/� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: • - <br /> Zoning File: # Resolution: # Resolution Date: <br /> � . <br /> �1• Shoreland District: <br /> � � Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />