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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: '���`� dU�U('�n� (���`~'^' �`�'.`� <br /> PID: <br /> DESCRIPTION OF WORK: lU�� /�� <br /> ------------------------------------� -- ------------------------------------------------�------�---------- <br /> ZONING REVIEW BY: �� ��— _ DATE APPROVED• ! • ' ��� <br /> BUILDING REVIEW BY: ,,�„_ DATE APPROVED: � .�,► -u� <br /> -------------------------------------------` -------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION � � �j�3 ti t� c1 <br /> STATE SURCHARGE Yes ✓ No f WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes r/ No SITEINSPECTION <br /> Number of SAC Units a- OTHER (specify) <br /> ZONING CHECK LIST zoning District: �2 '�a <br /> Fire Department: (-�-V ' l�°�� Post Office: t�.-�=� lft-��-� School District: ��'�.-t:^��% <br /> Lot Area: Sq.ft. Zl �i��t�j L Acres (� �'��� Width 'L`''��,`'3 A-u�_ Depth -�'t S7 Z �- <br /> Survey Submitted: Yes ,rC No Date of Survey: � '`�'�J <br /> Proposed Setbacks: , <br /> F•ret�t (Lake): �� � Right Side: l"�Z � <br /> Rear (Street): �2�-3 Left Side: �5��� <br /> Adjacent Structures: N �/�- Wetland: /�+//3 <br /> Building Height: Def. Hgt. '2-9� Peak Hgt. 3 i � <br /> Lot Coverage: �j/� <br /> Grading: Staff Approval Date: /'3 f- °`' By: 1'-�� Council Approval Date: '"— <br /> Septic: Staff Approval Date: N�� By: — <br /> Zoning File: # r' Resolution: #i '� Resolution Date: — <br /> Shoreland District: y�5 "� <br /> Avg. Setback: p<��, Bluff Setback: /'✓��� L,ot Coverage: /"/�' <br /> Existing Proposed <br /> Hardcover: 0-75' e �.— <br /> 75-250' A � <br /> 250-500' 1� j�� � <br /> 500-1000' � 0 3 '� <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 27 <br />