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. - , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 b I"1 C►qsC.o Po,�rr- 1�� <br /> PID: <br /> DES CRIP'I'ION OF WORK: _ � �� �-5-,o N �/Z�,,•y�,�7 p�--L <br /> _ ___�_w�_-- - --- - <br /> � ---------------------------------------------------------------- <br /> ZOr"I1tG REVIEW BY: DATE APPROVED: /o -z 5 —o� <br /> BUII.DI�i 1G REVIEW BY: DATE APPROVED; � o-z5 -ct� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAl�t REVIEW Yes �' No SEWER CONNECTION <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 /> ZOYI��1G CH�CK LIST Zoning District: L/L - � L <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. /�,�-I(.-? Acres •y Width l�C�r6 u vt-6L Depth <br /> Survey Submitted: Yes � No Date of Survey: �(- 1�7-01 <br /> Proposed Setbacks: <br /> Fron[(Lake): !�5 � � Right Side: -�j,S� <br /> Rear (Street): Z'7' �- Left Side: Z�' f <br /> Adjacent Structures: — Wetland: "-' <br /> Building Height: Def. Hgt. 2-z Peal:Hgt. z to <br /> Lot Coverage: ( 6 -`� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 2�`�1 `1 Resolution: # `/6`{0 Resolution Date: �'S'�� <br /> Shoreland District: y�S <br /> Avg. Setback: (�.)` Bluff Setback: �i1 (/� Lot Coverage: 16 -� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' Z� �! <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes_� No Date of Council Approval: `���7 '�� <br /> REMARKS (in house): <br /> 7 <br />