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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> 'ADDRESS OR LECAL: �/3�S �A`�S//J� �Z�.4-� <br /> PID: <br /> DESCRIPTIOV OF WORK: �10(J i n�N <br /> ZONING REVIEW BY: DATE APPROVED: �b- z- o�( <br /> BUILDING REVIEW BY: DATE APPROVED: 6 � Z-�-/ <br /> FEES TO BE CHARGED: �[isc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE��' Yes �/ No SEWER COiVNECTION <br /> STATE SURCH.4RGE Yes r/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes �'o PARK FEE <br /> SAC Yes No SITE INSPECT[ON <br /> Number of S.-�C Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_ � No Date of Survey: (2-��2 •�� (o�., F���� <br /> Proposed Setbacks: <br /> Front (Lake): 33o Right Side: �2a <br /> Rear (Street): 6�da Left Side: Z z 8 <br /> Adjacent Structures: N �i� Wetl,�nd: — <br /> Building Height: Def. Hgt. c� . � Peak H�t. — <br /> Lot Coverage: N �r� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approcal Date: — By_ <br /> Zoning File: # " Resofution: # Resolution Date: <br /> Shoreland District: v�s <br /> Avg. Setback: �-.I� Bluff�tback: N � ,� L o t C o v e r a g e : <br /> Existing Proposed <br /> Hardco�•er: 0-75' O.(� <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardco��er Variance Required: Yes \o y`' Date of Council approval: <br /> REMARKS (in house): <br />