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CHECK OFF LIST FOR ISSUANCE OF PER�vIITS <br /> � FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: 'z.�c�� c�i s c� Po�N-r cZo� <br /> PID: <br /> DESCRIPri'ION OF WORK: 3 5 c:-r-�s�.�.� Po n-�-�-� <br /> ------ — - ----------------------------___ _ <br /> ZOVI�'G REVIE�V BY: � DATE APPROVED: i � 2� -�� <br /> BUII..D�G REV�W BY: DATE APPROVED; i , � Lg -� � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pLAN REVIEW Yes �i- No SEWER CO�TNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�Z`�G CH�CK LIST Zoning District: L2 -��- <br /> Fire Department: Yy�,o�,v,/� Post Office: w��N�� School District: �u@Srvnj k� <br /> Lot Area: Sq.ft. 1'd,�7� Acres • �f 3 Width 1�Za�v.-� Depth '—' <br /> Survey Submitted: Yes_� No Date of Survey: (x� S,� <br /> Proposed Setbacks: <br /> Front(Lake): ��'1 R.ight Side: Z`?' <br /> Rear (Street): l'-�d Left Side: 4�� <br /> Adjacent Structures: A�i14(�{J�c9 Wetland: /�/ /✓} <br /> Buildin�Height: Def. Hgt. �, �L Peal:Hgt. O� �� <br /> Lot Coverage: — � <br /> Gradin�: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # ZS�i 2 ' Resolution: #� Resolution Date: <br /> Shoreland District: u�s <br /> Av�. Setback: vA2�w-rvc� Bluff Setback: N �/�- LotCoverage: aN cC�� <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' Y Z•5 7 `�Z.y 7 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes e( No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />