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• I� . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�d�1 C�s c o P o,rl r (2A,a d <br /> PID: <br /> DESCRIPTION OF WORK: �q�lJ�p,�- � o�S <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: -/�• 0 2 <br /> BUILDING REVIEW BY: DATE APPROVED: b -t �i • o z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes c/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No f PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (�+�- ►C. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes �C �,No Date of Survey: !• z-� • o Z, <br /> Proposed Setbacks: <br /> �ant (Lake): )�t Z� �' Right Side: �0.� <br /> � <br /> Rear (Street): �1� Left Side: �.( <br /> Adjacent Structures: /�/1�9 Wetland: /'l(�� <br /> Building Height: Def. Hgt. �`<<- Peal:Hgt. — <br /> Lot Coverage: <i S <br /> Grading: Staff Approval Date: (� - ( �- �Z- By: �� • Council Approval Date: -- <br /> Septic: Staff Approval Date: /�(✓a By: <br /> Zoning File: # Z-Z'i S3 Resolution: # �-f�b� Resolution Date: 3-��- °Z <br /> Shoreland District: y�5 <br /> Avg. Setback o.c,� Bluff Setback: n� l� Lot Coverage: �" <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 3�0 5 3�.3 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes � No Date of Council Approval: 3-I I - a'Z-� <br /> REMARKS (in house): ,� S ��� �r� d r= �� �' r4--n�-c.P-/-� <br /> —(—o P�r==� a W t�. u�S <br /> 7 <br />