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� . , <br /> , . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: .�i��� C�S� Av L. <br /> PID: <br /> DESCRIPTION OF WORK: f��T°+c�t�� (�,�(��c, <br /> --------------------------------- - -----------------------------------------------.------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED. G Z1!-oy <br /> BUILDING REVIEW BY: DATE APPROVED: 6 -ZS4- o`( <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 � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes cc No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Z?� Right Side: 5 7 <br /> Rear (Street): IS Left Side: 9� <br /> Adjacent Structures: '7 S Wetland: N �(� <br /> Building Height: Def. Hgt. Z 1 Peak Hgt. 2 y' <br /> Lot Coverage: b �k <br /> Grading: Staff Approvai Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: �/(f} Bluff Setback: n/ /A- L o t C o v e r a g e : <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 22•�6 Z3.ba <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No JL Date of Council Approval: <br /> REMARKS (in house): <br />