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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ?��o`� �:.r���'<_ r� ,,,�.- ��-c:.� <br /> PID: <br /> DESCRIPTION OF WORK: �:���i� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: -� !� � 1 �'���--- DATE APPROVED: �', �.'�, 'c� <br /> BUILDING REVIEW BY: , r: _, ..,� ti•� DATE APPROVED: � �.k, �t� <br /> �������������������������������������������������1' ������������������������������������������������������������������� <br /> FEES TO BE CHARGED: �� Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR`HARG� Yes �/ No WATER CONNECTION <br /> INVESTIGAT'ION-FEE �Yes t� No � PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �i-d C_ <br /> Fire Department: IMp�N� Post Office: L�,�'��z v�rv� School District: �,,����C,�y�c/�- <br /> Lot Area: Sq.ft. ti� Acres — Width -- Depth —' <br /> Survey Submitted: Yes �'C No Date of Survey: ��s ,_��= �( � Z 3 �(1, <br /> Proposed Setbacks: t <br /> Front (Lake): 1 i 5 � Right Side: �'Z � -� <br /> Rear (Street): Left Side: Z S � � <br /> Adjacent Structures: ►4��--�_-'►'� Wetland: /'�-' � � <br /> Building Height: Def. Hgt. �'�'i`4 Peak Hgt. � (r� <br /> Lot Coverage: �' � <<- <br /> Grading: Staff Approval Date: r.,' � •'� By: "� Council Approval Date: <br /> Septic: Staff Approval Date: 1'U ( �'1 By: " <br /> ��'? 3C:: <br /> Zoning File: # :� +2 Resolution: # •—' Resolution Date: d �'c` � `I � <br /> Shoreland Dist:ict: �� . � <br /> Avg. Setback: ���� � _ Bluff Setback: N��� Lot Coverage: /1�f l� <br /> Existing Proposed <br /> Hardcover: 0-75 <br /> 75-250' rl`1 � <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> � <br /> REMARKS (in house): � c...�=:.;��c u��,v� �.� .�-, �� -��" ,1.:�,_,.� � — <br /> 26 <br />