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• � <br /> CHECK OFF LIST FOR ISSUA CE OF PERMITS <br /> FOR OFFICE USE NLY <br /> ADDRESS OR LEGAL: �{31� (3A Y 5 r✓�C A� <br /> PID: � <br /> DESCRIPTION OF WORK p o�.� 3 t�r-� <br /> -----------------------------------------,-n--------------------------- ------------------------------------------------- <br /> ZONING REVIEW BY: � (�[.�— DATE APPROVED: /o-a a-o z <br /> BUILDING REVIEW BY: DATE APPROVED: i a- a z•a-z. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes�/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------- -------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres �Vidt Depth <br /> Survey Submitted: Yes_ � No I Dat of Survey: pn, �ci� <br /> Proposed Setbacks: <br /> I'�e�at (Lake): S�b�± Right Side: <br /> Re�ctr(Street): '-�0 0� � Left Side: �10 0 <br /> Adjacent Structures: ��� Wetland: l/1 <br /> Building Height: Def. Hgt. 2 S•S Peak Hgt. 2� <br /> Lot Coverage: /J I A <br /> Grading: Staff Approval Date: /J�/� By: Council Approval Date: <br /> Septic: Staff Approval Date: �l/�- By: <br /> Zoning File: # Resolution: # Re lution Date: <br /> Shoreland District.• �/�S <br /> Avg. Setback: nI/,h Bluff Setback: �J' I.ot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' i.g 2 c�c. <br /> 500-1000, � <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS(in house): <br /> 3 <br /> I <br />