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( r <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: j-�L(�%J �'GL-t i�,�c t rl 1��C'��� <br /> PID: ��(T . •1 � � -� � ._ �� _�� l <br /> DESCRIPTION OF WORK `-��( c f7 G)i f�i % :U ' rt Cj(:_ r cttj(%_ <br /> ------------ <br /> ZONING REVIEWBY: � �`j DATE APPROVED: ��/�{/i, / <br /> BUILDING REVIEW BY.• DATE APPROVED: 9 •Y• d� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes .� No <br /> PLANREVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNEC770N <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPEC770N <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L K � l�"� <br /> Fire Department: ��;L-�.(�("4� Post Office: �X�'t'��IC%+� School District: J�%���Z�r�G%�/ ;,{✓�S�Z�j� <br /> Lot Area: Sq ft. /�� �i`��j If1 Acres ��J� Width "��(�) � Depth ^'1�(� � <br /> Survey Submitted: Yes_� No Date of Survey: ,�j� �.�-/�-�;C' <br /> �1��v+s�-r( �/-5-�� / <br /> Proposed Setbacks: <br /> Front (Lake): - Right Side: — <br /> Rear (Street): ,j� � Left Side: 1d � <br /> Adjacent Structures: — Wetland: " <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: #C i - �-�'�`/ Resolution: #��(��-��} Resolution Date: �/-�}3 O I <br /> Shoreland District: <br /> ExiSfrrl�' - �,`_/ICol�J(t2/-��/c� <br /> Avg.Setback: Bluff Setback: Lot Coverage: � c ;� - 3 � a �t���,�c�c j <br /> Existin Proposed <br /> Hardcover: 0-75' � '/�� (� ���'lc� ;,)y��J�..�;��/c) <br /> 75-250' 'f,�°S�'>�7s _��I �l°%) �5�'i ��3.���/�>> <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes K No Date of Council Approval: `�-� �" �' � <br /> REMARKS(in house): <br /> 32 <br />