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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �;,,Z y � t����°�Li�•.� f'CAu.: <br /> PID: <br /> DESCRIPTION OF WORK: ���r� (`-,rA(�,.,+��� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � �. DATE APPROVED: y' z�7•j`i' <br /> BUILDING REVIEW BY: �= � �-'� �. DATE APPROVED: �{'- 2? -S`1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTION � <br /> STATE SUR�.�ARGL Yes :/� No WATERCONNECTION <br /> INVESTIGAZ'ION FEE I'es No PARK FEE <br /> SAC Y.:s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �,2-�L <br /> Fire Department: �,�,� �.11 Post Office: ;,,;A,�r-� r.'� School District: ;.,,��s;-c.•�ic�ri <br /> �— <br /> Lot Area: Sq.ft.��t,�> Acres , (�1 Width -SU Depth � �� <br /> Survey Submitted: Yes�_ No Date of Survey: `-� - �`�l `t `�' <br /> Proposed Setbacks: <br /> Front (Lake): c1 I, � Right Side: � 5 � <br /> Rear (Street): f�` Left Side: �� <br /> Adjacent Structures: Wetland: � i 6� <br /> Building Height: Def. Hgt. U.. IL Peak Hgt. C%. �� <br /> Lot Coverage: � �,�� ='� ��` r 3,�0�� <br /> Grading: Staff Approval Date: "" By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # '— Resolution: l� Resolution Date: <br /> Shoreland Dist-ict: N U <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-SG�' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />