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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS ��0 � �� �� <br /> FOR OFFICE USE ONLY ,�� � <br /> ADDRESS OR LEGAL: Z�1`� CAS� Po�n�-r �oA,O a <br /> PID: -�c � l� � —.�t 3 :� � c�c.:55' = <br /> DESCRIPTIOtiT OF WORK: � <br /> ------------------------------------------ ------- --------�---------- -- <br /> --- ----------------------------------- <br /> ZONING REVIEW BY: � DATEAPPROVED. � - (y—�$ <br /> BUILDING REVIEW BY: DATE APPROVED: �, _� y —�y$ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIVIIT Yes ✓� No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <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-1 C. <br /> Fire Department: �'�/(NcJ nIV, Post Off`ice: (�/�'�'i�1 School District: /'�t,a cl n� <br /> LotArea: Sq.ft.��QQd Acres •Zl�h Width Sc/.9( Depth l�O. OS <br /> Survey Submitted: Yes a No Date of Survey: �-Z-�}g <br /> Proposed Setbacks: � <br /> Front (Lake): (Z6 Right Side: 3c�� <br /> Rear (Street): � (p Left Side: � O <br /> Adjacent Structures: Z� Wetland: /U�r4- <br /> Building Height: Def. Hgt. p .�¢. Peak Hgt. — <br /> Lot Coverage: b.K <br /> Grading: Staff Approval Date: �l///4- By: � Council Approval Date: — <br /> Septic: Staff Approval Date: ilI(�+ By: �• - <br /> Zoning File: # 2 35 3 Resolution: # Resolution Date: <br /> Shoreland District: y,�S <br /> Avg. Setback �(//�g- Bluff Setback: /v��- L.ot Coverage: d,� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' 37.`i `-10.1 <br /> 500-1000' <br /> Hardcover Variance Required: Yes � No Date of Council Approval: �� <br /> REMARKS (in house): <br /> 7 <br />