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' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE E ONLY <br /> ADDRESS OR LEGAL: :� �� .� `( �, �-��11t�' /�C-�-,i..� ����_1.�1 <br /> PID: <br /> DESCRIPTION OF WORK: �p� ,n��.1 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: `/ �?- y`� <br /> BUILDING REVIEW BY: DATE APPROVED: �t- � - S 5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN 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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONIl�1G CHECK LIST Zoning District: �2 '�L <br /> Fire Department: ��N� Post Office: ��A yz.<-'� School District: �5r��� <br /> Lot Area: Sq.ft. � 2�'i51•SS Acres . 2� Width (tio � � Depth �%�: � <br /> Survey Submitted: Yes� No Date of Survey: � - /'{ - ? � <br /> Proposed Setbacks: <br /> F�et�t(Lake): � (ov Right Side: i C� <br /> R�ar (�treet): `�I l Left Side: 3r � <br /> Adjacent Structures: (��7Y-1C�Z 1� Wetland: �l� <br /> Building Height: Def. Hgt. 2�s�- ��7�5 Peal:Hgt. — 2 � <br /> Lot Coverage: (�i o �(-}-Y+�+�+cv�C <br /> Grading: Staff Approval Date: N� C/�� By: Council Approval Date: <br /> Septic: Staff Approval Date: /J �r� By: <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: �,,,�S <br /> Avg. Setback C .�< Bluff Setback: /t/('/� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' �� <br /> 250-500' C 1-'�'�r�� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />