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. ! <br /> CHECK OFF LI5T FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I z s i �3/Zc�wiv /�v� S <br /> PID: <br /> DESCRIPTION OF WORK: p�T: (o,q.�1s�-�e -�- /vw v.� s��-p <br /> --------------------------------------- ------ ------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: S- �o � o z <br /> BUILDING REVIEW BY: _ DATE APPROVED: 5-�o a z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. �S� l�(�7 Acres 3� Width (pD .2 Depth /5�.3� �4crP <br /> Survey Submitted: Yes pL No Date of Survey: �-( - i g-o Z <br /> Proposed Setbacks: � <br /> Front (Lake): j 3 Right Side: ��`— �O � <br /> Rear (Street): t 5.3 Left Side: �/�I• � <br /> Adjacent Structures: 30� Wetland: �//� <br /> Building Height: Def. Hgt. (9,(� Peak Hgt. — <br /> 5 6}ecQ � 0 3 <br /> Lot Coverage: 1`{ .�=1 � �o��+ ��8� Z373= i S,Y6"7�/Y• � <br /> � r" �� z»3 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /n/v <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' Z��10 <br /> Hardcover Variance Required: Yes No_� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />