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' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: i�'��� �����-� �'S ru,,,,;,,� 1��, ,� <br /> PID: <br /> DESCRIPTION OF WORK: L�i ��'� ��,�� � <br /> ----------------------------------------- ----------------------------------------------------------------------------- <br /> ZONING REVIEV6V BY: - , i/-�-�.---_- DATE APPROVED: � �- 5 h <br /> BUILDING REVIEW BY: • , �"' ; /i�,-� ..r.__ DAT`E APPROVED: G -2 �- � b <br /> ------------------------------------------�--------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes f No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <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: n 2� 1� <br /> Fire Department: C�C� Post Offce: <<— School District: E>���'�'� <br /> Lot Area: Sq.ft. �t� Z Z3•Z Acres .'3� Width f/ Z, Depth I'!'� �1 <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): "►O b� Right Side: ( I�`t � <br /> Rear (Street): Zc�� Left Side: <br /> Adjacent Structures: ►c� ' Wetland: 8�� <br /> Building Height: Def. Hgt. / 3-S � Peak Hgt. (y � <br /> Lot Coverage: <br /> Grading: Staff Approval Date: /`��� By: Council Approval Date: <br /> Septic: Staff Approval Date: �v�A By: <br /> Zoning File: # — Resolution: # — Resolution Date: — <br /> Shoreland District: Nv <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 />