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CHECK OFF LIST FOR ISSUA��ICE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 2Sao� �,qSc.o Po„rv-r C�� <br /> PID: <br /> DESCRIPTION OF WORK: (2�..s..Q (�,4,�v�c� L�-vA-Tz.�n� <br /> ZOrTtii'G REVIEW BY: DATE APPROVED: r�- t�i-c�r <br /> BUII,DI�i iG REV�W BY: DATE APPROVED: � o -i�• �i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes ,,/' No <br /> PLAN REVIEW Yes ✓' No SEWER COiVNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: C.2-i L <br /> Fire Department: /Ytav n,,/> Post Office: �,v,a,�.�,q�'�- School District: �,v�s r o nt 1�-4- <br /> Lot Area: Sq.ft. ^,v Ci�� Acres Width Depth <br /> Survey Submitted: Yes L No Date of Survey: �• �-9 S <br /> Proposed Setbacks: <br /> Front (Lake): ?c�o Right Side: �, l <br /> Rear (Street): �'L•(e Left Side: SZ� <br /> Adjacent Structures: Wetland: N �A <br /> Building Height: Def. Hgt. b . (�. Peal:Hgt. o.(c <br /> Lot Covera�e: NO C.l-i��Y'se <br /> Grading: Staff Approval Date: (U�(A By: Council Approval Date: <br /> Septic: Staff Approval Date: �1 (y� By: <br /> Zoning File: # z1��_ Resolution: # Resolution Date: 9-2 N- �� <br /> Shoreland District: <br /> Avg. Setbac : n((pt- Bluff Setback: nl �/� L,ot Coverage: <br /> Existing Proposed <br />� Hardcover: 0-75' <br /> 75-250' <br /> 250-500' /VO CNAN6E <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS (in house): (�e,sowru•a �c e�v c� '• <br /> 7 <br />