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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �z�s C►q R�AnJ izo r�o <br /> , <br /> PID: <br /> DESCRIPTION OF WORK: qQ�, n o.✓�jZc,SYYr.�/.x� <br /> ZOrT�1i G REVIE`Y BY: DATE APPROVED:, S-i7- �5 <br /> BUII.DING REVIE`Y B : DA'I'E APPROVED: s- �� -o s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes „� No <br /> PLAN REVIEW Yes �/ No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No r/ PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZONI�IG CH�CK LIST Zoning District: L2•//3 <br /> Fire Department: Post O�ce: School District: <br /> y�3.�6 c sf�.��-� <br /> Lot Area: Sq.ft. �lL, !4� Acres 1.06 Widch z5.s C��>'s•�_ Dep[h <br /> Survey Submitted: Yes I�10 Date of Survey: <br /> �,�,:r.. 1,��p�,D � <br /> Proposed Setbacks: � ��-_r <br /> Front (Lake): �����"JS Right Side: 35''` <br /> Rear (Street): `�S Left Side: (,0� °' <br /> Ad;acent Structures: — Wetland: <br /> Buildin� Height: Def. Hgt. o�!L Peal:Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: �tl/�g- By: – <br /> Zoning File: I# oS- ���5 Resolution: # Resolution Date: 3-z�-°s <br /> Shoreland District: �eS� <br /> Av�. SetbacK: �/�q2,A,.rur Bluff Setback: N r/j Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' 3-y 5 1 g 2 <br /> 7�-250' 3Z.$g _,30.�3 <br /> 2�0-500' <br /> 500-1Q00' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />