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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z I'�l(� C,tQ,�2� V�C,� C_�A v�� <br /> PID: <br /> DESCRIPTION OF WORK: (�<=-� 12.�� <br /> ------------------------------------------------- ------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: /-��-O 1 <br /> BLTILDING REVIEW BY: DATE APPROVED: � -�� - O� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes c/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (��- 1� <br /> Fire Department: 1�C-, Post Office: �A�� (J�l� School District: (�2O+v-O <br /> L.ot Area: Sq.ft. Acres Z"� Width 2(op Dep� S 2(1.c.>�"6��_ <br /> Survey Submitted: Yes � No Date of Survey: � -2 3 - O( <br /> (LCU l s e c9 �U�,� �,�C-�-`rP� 2 - 2 U-o t <br /> Proposed Setbacks: , <br /> Front (Lake): � � 1b Right Side: -f�� `�1 <br /> Rear (Street): �� � } Left Side: �� S� <br /> Adjacent Structures: /v �� Wetland: t�5 � �- <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: Ov I� <br /> Grading: Staff Approval Date: t -�( -O( By: � Council Approval Date: — <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /�(U <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 27 <br />