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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: :_' S'�� C:,ot S�= e u,�v �r j��_. <br /> PID: �� �i� 7- ;� -3 <� � ae�i� <br /> DESCRIPTION OF WORK: �`t,J �Z�S <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> r <br /> ZONING REVIEW BY: � � � DATE APPROVED: �t -((, � 7�; <br /> BUILDING REVIEW BY: r � � DATE APPROVED: `� -/(, ��, <br /> �����������������������������������������������J� ��������������������������������������������������������������������� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: ,j-r�— <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes `� No SEWER CONNECTION <br /> STATE SUR`�IARGE Yes � No WATER CONNECTION <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC Units 'j,. OTHER (specify)-a�i.�� CN�'�,�:�Z z� •c� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: Cr�'�'i L <br /> Fire Department: �Y'�L,,r-c.� Post Office: Li.�,��n-�- School District: �,.%N�� 1'a,'��.4 <br /> Lot Area: Sq.ft. �/Z�Y t� i-4 Y-�Acres - �� Width / Z Lj +' Depth S Y Z. `i 'S /�}-�E � <br /> Survey Submitted: Yes ct No Date of Survey: �--(�: `i� <br /> Proposed Setbacks: <br /> F�rartt (Lake): �� � Right Side: i 7 � } <br /> �ear (Street): (�� � �= Left Side: Z 3` * <br /> Adjacent Structures: i✓�f� Wetland: J�%/� <br /> Building Height: Def. Hgt. C.� Peak Hgt. 71 � <br /> Lot Coverage: `�7 <d <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: ,ti� r.� By: " <br /> Zoning File: # �I� � Resolution: # Resolution Date: � -`t- `►�� - C.w�� v`� ���c-►..� r <br /> Fo,� �crzs�> �i l 1 <br /> Shoreland Dist:ict: �/�5 <br /> c:.o <br /> Avg. Setback: Bluff Setback: Lot Coverage: / � <br /> Existing Proposed <br /> Hardcover: 0-75 �J <br /> 75-250' �-1���� <br /> 250-500' `i "�$ <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�� Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />