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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFTCE USE ONLY <br /> ADDRESS OR LEGAL: _�Z,S �Sd v T}�} �3/L�wrJ �.�-� <br /> PID: J.7 - � <br /> DESCRIP'TION OF`VORK: �� <br /> -- -- �=-------------------------------------�----------------- <br /> ZOivING REV�W BY: DATE APPROVED• 5-7- f� <br /> BUII�DING REVIEW BY: �,� (�_ DATEAPPROVED: s'- �- y� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes _� No S�.tiVER COivNECITON <br /> STATE SUR`HARGE Yes v No ��ATERCONNECTION <br /> INVESTIGAI'ION FEE Yes No PARK FEE <br /> SAC Y:.s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOiVING CHECK LIST zoni.ng Discricc: L2-�� <br /> Fire Department: Post Office: Co-.,• (�h C¢.. School District: o�•-� <br /> Lot Area: Sq.ft. 3cr�,i57� Acres 6• g Width �/5"7� Depth (06 7 <br /> Survey Submitted: Yes D� No Date of Survey: (o - S—� $ <br /> Proposed Setbacks: <br /> Front (Lake): _ �ZS'''.- Right Side: /S� <br /> Rear (Street): 3 6 0� } Left Side: 'Z� <br /> Adjacent Structures: fSD � Wetland: N(/�- <br /> Building Height: Def. Hgt. /U//�— Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> � Zoning File; # Resolution: # Resolution Date: <br /> V � . <br /> Shoreland Dis�ict: <br /> Avg. Setback: Bluff Setback: Lot Covera�e: <br /> • Eziscing 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 /> REMARbS (in house): <br /> • 26 <br />