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CHEC� OFF i,IST FOR ISSU.ANCE O�' PE�1�fITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: 9�.o c32ow►� �� S� - <br /> PID: <br /> DESCR�'I'ION OF WORK: N�.v� �� . <br /> ZO�IG REVIE`V BY: ----- P l� AATE APPP.OVED: �-�-o e <br /> BUILDING RE'VIE�V BY: DATE APPROVED: s -? -o V <br /> FEES TO BE CHARGED: Misc. Fees Catculated By: <br /> PERMIT Yes � No <br /> PLAN REVIE`V � Yes �/ No SEtiVER CONNECTION <br /> STATE SURCHARGE Yes ✓ No �VATERCONNECTTON <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes —� No STTEINSPECTION <br /> Number of SAC�Uruts � OTHER (specify) <br /> ZONi_�IG CHE.CK LIST Zoning Discricr. �. <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. yoY�90 Acres •9 3 Width � i� Depth 40o.bY <br /> Survey Submitted: Yes _� No Date of Survey: �2 -o �4s r h��s.a� �' z$-fl6 <br /> Proposed Setbacks: <br /> Front (Lake): 95 Ri�it Side: Z�' <br /> Rear (St�ee[): I�0 Left Side: Z� ' <br /> Adjaceat Structures: ►-� tA Wetland: N/� <br /> Buildin� Height: Def, Hgt. Peal:Hgt. � O�V�- � Yh.�G <br /> Lot Covera�e: 2�•°� <br /> Gradino: Staff Approval Date: g-'7- �c� By: rv1/� � Council Approval Da[e: — ' <br /> Septic: Staff Approval Date: ��,.a e,.. By: — <br /> Zoaing File: �S- 7�0 2 Resolution: # 73 2 � Resolution Date: lr• i3'� S <br /> Shoreland Distric[: v P_S <br /> Av�. Setback- �ti9- Bluff Secback: ,�'J� L.o[Coverage: g•g <br /> E�isting Proposed <br /> Hardcover: 0-75' d � <br /> 75-250' � ,�. � <br /> 2�0-500' 0 2�. <br /> 5Q0-lOCO' <br /> Hardco�•er Va;iance Required: Yes No � Da�e of Council Approv�l: <br /> RE`L4RKS (in house): <br />