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, � , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '�3�-' S � ��'►:��.-.�.: ,�; I�..c:,A� <br /> PID: <br /> DESCRIPTION OF WORK: C�-�t,4�� ��p� � ri�;^'� <br /> ----------------------------------------�------------------------------------------------------------------------------- <br /> ZONING REVIE�J BY: � � DATE APPROVED: � �:; - 3-•�t�; <br /> BUILDING REVIEW BY: � DATE APPROVED: r� -3--�t w <br /> ------------------------------------------------r ---------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ;.l� No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v' PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (a�('<-�('� <br /> Fire Department: (�,,,� (}�c�:,c. Past Offce: �,c..=r���.�Fv.`k School District: �2.���:�: <br /> � <br /> Lot Area: Sq.ft. ttic c�r,,� Acres Width [J1;�.t.s;�i,r,� Depth <br /> Survey Submitted: Yes� No Date of Survey: � '�V `11:. <br /> Proposed Setbacks: �+ � + r <br /> Front (Lake): i`7� Right Side: 'C;c: J <br /> Rear (Street): S�� � Left Side: 25�%� �' �w, <br /> Adjacent Structures: ���C:� Wetland: /t,' lr1- <br /> Building Height: Def. Hgt. �i•(�— Peak Hgt. fv} ��� <br /> Lot Coverage: �; (�� <br /> Grading: Staff Approval Date: � ���� By: OL'lt� Council Approval Date: <br /> Septic: Staff Approval Date: Iu � ��{- By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> �,��� Shoreland District: <br /> Avg. Setback: Bluff Setback: <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 /> 10 <br />