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CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 37 0`t C bsc.� �V� <br /> PID: <br /> DESCRIPTION OF WORK: �7.�-r2,,, (�,�,� ,q.Mp C�(',,k0� [x.veZ D�`z�c <br /> -------------------------------------- -�---------------------------------------------------------------- <br /> ZO�'G REVIEW BY: r- DATE APPROVED: G - 3� 5� <br /> BUILDING REVIEW BY: DATE APPROVED: � _ 3 �5 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No . <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR`HARG� Yes ci No WATER CONNECTION <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONI�i 1G CHECK LIST Zoning District: L/Z- JC, <br /> �• Fire Department: Post Office: School District: <br /> N� <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o� No Date of Survey: 9-ZY-9( <br /> Proposed Setbacks: <br /> Front (Lake): G o� � Right Side: `�(�� ± <br /> Reaz(Street): ?D` � Left Side: Z,3� � <br /> Adjacent Structures: J4m►r,l�f� �Vetland: <br /> Building Height: Def. Hgt. N /� Peak Hgt. /V//-1- <br /> Lot Coverage: 0 �,� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> p Septic: Staff Approval Date: By: <br /> �"J, <br /> Zoning File: #� Resolution: f� Resolution Date: <br /> Shoreland Dist:ict: �PS . <br /> Avg. Setback: N//3 Bluff Setback: it/'r,� L.ot Coverage: e�,/c <br /> Existing Proposed <br /> Hazdcover: 0-75' • <br /> 75-250' <br /> 250'S00' n�o c d.K <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No_� Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />