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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: G(�(�0 yU 0 R� (�IL�W�N (�� <br /> PID: = <br /> DESCRIPTION OF WORK: Q i Ty��� �/��- <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: � - ?� -�g <br /> BUILDING REVIEW BY: DATE APPROVED: €3 -'z a-S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes � No SEWER CONNEC'ITON <br /> STATE SURCHARGE Yes f No WAT'ER CONNECTTON <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: L2�1/� <br /> Fire Department: (�c�u4 (A.��_ Post Office: (.� School District: ��,g.,v� <br /> � <br /> Lot Area: Sq.ft. "�°t�$y� .S Acres �. '� 3 Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> �r �. � <br /> Front (Lake): L bS Right Side: �j <br /> Rear(Street): Zlti� � � Left Side: / 7 S <br /> Adjacent Structures: iQ.-TTY�ctfic.� Wetland: �✓��- <br /> Building Height: Def. Hgt. O. �L- Peal:Hgt. `� <br /> Lot Coverage: S'_� <br /> � <br /> � <br /> Grading: Staff Approval Date: it/�C/d- By: `' Council Approval Date: <br /> Septic: Staff Approval Date: it/ (�-- By: '�- - <br /> Zoning File: # 23��� Resolution: # Resolution Date: �•t� -qQJ <br /> Shoreland District: �� <br /> Avg. Setback: Bluff Setback: I.ot Coverage: S� <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 />