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CHECK OFF LIST FOR ISSUANCE OF PE�tMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t(��� c3 2�u w N l�✓� s'� �� <br /> PID: <br /> DESCRIPT'ION OF WORK: ��J� c rvo/� 5 <br /> ZO�'G REVIE`V BY: N -- DATE APPROVED: y- �y- �i9 <br /> BUILDI�i iG REVIEW BY: DATE APPROVED: �r-�y .y'�j <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _,� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes i/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------ <br /> ZONING CH�CK LIST Zoning District: (Z�R-1 (3 <br /> Fire Department: l.��s(, lA�I�T Post Office: �,o NG�� School District: c�(Lu u o <br /> Lot Area: Sq.ft. '3y�7 43(0•`l3 Acres , 1�`�i Width �� I• S Z- A"� Depch 3 1 I •�t� I�lv�P <br /> Survey Submitted: Yes X No Date of Survey: �'GI "�0 <br /> Proposed Setbacks: <br /> Fron[(Lake): �2�� � Right Side: 35 � } <br /> Rear (Street): I Z,�` { Left Side: �-10 � r <br /> Adjacent Structures: �z-n'ac-�,+-�--"''7 Wetland: N f� <br /> Building Height: Def. Hgt. �9.(L Peal:Hgt. — <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Da[e: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> N �° Shoreland District: <br /> 4L Avg. Setback: Bluff Setback: I.ot Coverage: <br /> p(L� 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 />