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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z-7 � S C tP�S w PO r/v i (�r4�D <br /> PID: <br /> DESCRIPTION OF WORK: �/-�t,p p � , ��J tivwo 2�- <br /> ZO�Ti 1G REVIEW BY: DATE APPROVED: R' S-vi <br /> BUILDI�i 1G REVIE`V BY: DATE APPR4VED: �t'- S'-v/ <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> PLA1�1 REVIEW Yes _,� No SEWER CONNECITON <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�TING CH�CK LIST Zoning District: L2-�L <br /> Fire Department: MouN/� Post OfFice: -7��T�' School District: �,i}PSTON�v4 <br /> Lot Area: Sq.ft. 2 H, 1`{7• S� Acres . � 5 Width 6� Depch .�71.5 <br /> Survey Submitted: Yes_�c No Date of Survey: �'��� <br /> Proposed Setbacks: <br /> F�aat (Lake): �� (�(� Right Side: 5•�1 N <br /> 2il •1 <br /> Rear (Street): �t Left Side: ( t� •�A S <br /> Adjacent Structures: — Wetland: — <br /> Building Height: Def. Hgt. �j � Peal:Hgt. 3 3 <br /> Lot CoveraJe: <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: --- By: <br /> Ot- <br /> Zoning File: # 26 Resolution: # Resolution Date: 6 �I 1- Z�n� <br /> Shoreland District: �ps <br /> Avg. Setbac� ���o�l.� p�vc� Bluff Setback: r! //� L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' Z32a �`•��O <br /> 75-250' .S . K'2�� °10 <br /> 250-500' ZG . L Zc .� <br /> 500-1000' <br /> Hardcover Variance Required: Yes pC No Date of Council Approval: <br /> REMARKS (in house): _ <br /> 7 <br />