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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ` ADDRESS OR LEGAL: Z'??b C�lsc.d Po t N� �Z��� <br /> PID: <br /> DESCRIPTION OF WORK: , ��.C.� <br /> ------------------------------------------------- ---------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: �' -� O -4$ <br /> BUILDING REVIEW BY: DATE APPROVED: 9- �,c� -Q� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes �' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: LR-IC� <br /> Fire Department: (Wo�n.1d� Post Office: (�v An,Z4-iY} School District: r(,v��jT"O N l� <br /> Lot Area: Sq.ft. �`1�n�O Acres . 3Z Width 7 �3.23 Depth /�J 9. �7 <br /> Survey Submitted: Yes � No Date of Survey: �'j'ZI- �'� <br /> Proposed Setbacks: <br /> Front (Lake): �-1 I•g Right Side: t b • 3 <br /> Rear (Street): ! 30� Left Side: �{0` <br /> Adjacent Structures: �+����f�� Wetland: N(� <br /> Building Height: Def. Hgt. /�J � (� Peak Hgt. — <br /> Lot Coverage: (�°?� <br /> Grading: Staff Approval Date: � �/Q' By: ^ Council Approval Date: — <br /> Septic: Staff Approval Date: �U(�A- By: — <br /> Zoning File: # " Resolution: # � Resolution Date: "' <br /> Shoreland District: v�S <br /> Avg. Setback: N�/�, Bluff Setback: �(A L.otCoverage: !0 °�� <br /> Existing Proposed <br /> Hardcover: 0-75 <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />