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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3_:�'`-i f'� �:��5 ��= <<-�.� �- C:-� ��:� <br /> PID: <br /> DESCRIP'TION OF WORK: �'?�:vw.: t��2 <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZOi�tING REVIEW BY: � �' ! ,,�_ DAT'E APPROVED: ,3 -�i-�y� <br /> BUILDING REVIEW BY: , 7 `��,,�._ DATE APPROVED: � �,_ �,� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ./� No <br /> PLAN REVIEW Yes ✓" No SEWER CONNECTION <br /> STATE S UR�HARGE Yes �/ No WATER CONNECITON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZOi�i 1G C�CK LIST zoning District: L2��L <br /> Fire Department: v�t o�N✓� Post O�ce: w�a��� School District: �,-��-r-�„�� <br /> Lot Area: Sq.ft.33;3 0 � Acres , �� Width I RR-�.6��`t Depth — <br /> Survey Submitted: Yes x No Date of Survey: U� (�'i c,i: <br /> Proposed Setbacks: <br /> F�et3t (Lake): 54��� t Right Side: nt�,�- <br /> �eer-�(Street): r� (,�. Left Side: rv�i� <br /> Adjacent Structures: /�n-hGt+cc�' Wedand: ,� I,/� <br /> Building Height: Def. Hgt. N( ►'� Peak Hgt. /v(/�- <br /> Lot Coverage: �"! i�- <br /> Grading: Staff Approval Date: /U(0� By: � Council Approval Date: �" <br /> Septic: Staff Approval Date: �i (;�- By: <br /> Zoning File: 1� 2Z�G Resolution: # Resolution Date: <br /> Shoreland Dist=ict: yC-5 <br /> Avg. Setback: �q.(���t� Bluff Setback: Lo[Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75 �.�3 z.��' <br /> 75-250' <br /> � 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMA.RKS (in house): <br /> • 26 <br />