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�� <br /> ' � � CHECK OFF LIST FOR ISSUAI�i CE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2� 3 S C w R-���N� A��=- <br /> PID: <br /> DESCRIPTION OF WORK: L��:.c�i� <br /> --------------- --------- <br /> ZONING REV�W BY: � DATE APPROVED: � � 3-� � <br /> BITII,DING REVIEW BY: _ DATE APPROVED: � -3-5 7 <br /> ----------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓� No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,i No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: G./Z-/�3 Shoreland District : 4 c,� <br /> Fire Department: rv1 o vM/1 Post Office: (,vA�z4� School District: vV�p�n,n <br /> Lot Area: Sq.ft. �7, �°l Acres � 3� Width 1�K�5 Z r4� Depth �y 5.ti <br /> Survey Submitted: Yes X No Date of Survey: `{�Z`� -�� <br /> Proposed Setbacks: <br /> Fron[ (Lake): �Z� ± Right Side: YZ' �" <br /> Rear (Street): 6�� �' Left Side: SZ� � <br /> Adjacen[ Structures: R�`T►�cN�-� Wetland: NR� <br /> Building Height: Def. Hgt. Peak H�t. <br /> Av�. Setback: Bluff Setback: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> P��� Hardcover Variance Required: Yes No Date of Council Approval: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Sepdc: Staff Approval Date: BY� <br /> Zoni.ng File: # Resolution: # Resolution Date: <br /> RFMARKS (in house): <br />