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'� � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2l`i 0 f,�(zpUN� �-v..c <br /> PID: <br /> DESCRIPTION OF WORK: �Q��.�,c. ��(�-c.� <br /> ZONING REV�W BY: DATE APPROVED: �� r c�• q� <br /> BUII.DING REVIEW BY: DATE APPROVED: � - �d-9d <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> pLAN REVIEW Yes v' No SEWER CONNEC'IION <br /> STATE SUR`�IARG� Yes ✓ No WATERCONNEC'ITON <br /> INVESTIGAT'ION FEE Yes No Pt1RK FEE <br /> SAC Y;;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOrTING CHECK LIST Zoning District: C.2-t C. <br /> Fire Department:�nt;vc�M/� Post Office: L.�li�-1,4�Y�r School District: W-C-STenf W- <br /> Lot Area: Sq.ft. �-Z�oOZ.�tt Acres .Sv Width /Z�'( Depch /77�7 <br /> Survey Submitted: Yes X No Date of Survey: S-l9-�g <br /> Proposed Setbacks: , <br /> Front (Lake): _ '�17 � Right Side: Zc�` � <br /> Rear (Street): '16� `�= Left Side: �3t � <br /> Adjacen[Structures: (��-'71aG(-4ec9 Wetland: �! lA <br /> Building Height: Def. Hgt. IJ(�- Peak Hgt. " <br /> Lot Coverage: b�k <br /> Grading: Staff Approval Date: V�la By: ! Council Approval Date: " <br /> Septic: Staff Approval Date: �(/d- By: "� <br /> Zoning File; # N(�' Resolution: # — Resolution Date: —' <br /> Shoreland Dis�ict: S <br /> Avg. Setbac : d.([� Bluff Setback: /V(A- Lot Coverage: D,�L. <br /> � Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' �� �Q��_ <br /> 500-1000' <br /> Hardcover Variance Required: Yes No oL- Date of Council Approval: <br /> REl�ZAKKS (in house)• <br /> • 26 <br />