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, <br /> . CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Zy�3 C�R M A�3 sr-r�z r <br /> PID: <br /> " DESCRIPTION OF WORK: li.E3��I� ,�, o��.�b�.,,a� r--��N.�A-�►,.� �,���-+ /�dD►r�o.�5 <br /> - ZOr�1G REVIEW BY: � DATE APPROVED: �z-�5 -�S <br /> BLJILD�IG REVIE`V BY: DATE APPROVED; , z�S-�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�viIT Yes ,/� No <br /> pLA��i REVIEW Yes �/' No SEWER COiVNECITON <br /> STATE SURCHARGE Yes r% No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO1vI�1G CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. i�,°l�a Acres . Z� Width �u5 Depth 1 y(� <br /> Survey Submitted: Yes ,c No Date of Survey: I� -�d'�3 <br /> Proposed Setbacks: <br /> Front (Lake): `i�1.� Right Side: I I' +' <br /> Rear (Street): S�•� Left Side: I 3•3 <br /> Adjacent Structures: �I I A `Vedand: i,l �A <br /> Building Height: Def. Hgt. Z►.5 Peal:Hgt. 25 <br /> Lot Coverage: i 2•le <br /> Grading: Staff Approval Date: N I✓a By: Council Approval Date: <br /> Septic: Staff Approval Date: �1 I/-� By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: "i=� <br /> Avg. SetbackT Ni,4 Bluff Setback: n!//� L.otCoverage: ,v�/� <br /> EzistinQ Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' Z�•�� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No ,C Date of Council Approval: � <br /> RE�iARK,S (in house): <br /> 7 <br />