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. �t <br /> . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 9 y� CAs� �OIN T tZo A✓� <br /> PID: <br /> DESCRIPTION OF WORK: �4,p,� i ��„�S <br /> ZO.�tI�i 1G REVIEW BY: DATE APPROVED: /- z g � 0 2 <br /> BUILDItii TG REVIEW BY: DATE APPROVED: � - Z� —o Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLA�V REVIEW Yes �/' No SEWER CONNE�'I'ION <br /> STATE SURCHARGE Yes � No WATERCONNEC"ITON <br /> INVESTIGATION FEE Yes No ✓' PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Depar[ment: Post Office: School District: <br /> Lot Area: Sq.ft. 3'i ,o�.S Acres . � Width ��Gu�'�- Depth <br /> Survey Submitted: Yes_ (,� No Date of Survey: 1' ZO - oz. <br /> Proposed Setbacks: <br /> F�est (Lake): 1 0 Z� Right Side: 5 f' <br /> � (Street): �S� Left Side: Sb' <br /> Adjacent Structures: 1 il� Wetland: N�A <br /> Building Height: Def. Hgt. 30 ' Peal:Hgt. 3�1� <br /> Lot Coveraje: /Vp r�prra Q <br /> Grading: Staff Approval Date: /�!p Cl-�-,4nrc,t By: -- Council Approval Date: <br /> Septic: Staff Approval Date: /v /✓3 By: — <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: <br /> Avg. Setbac : o.K Bluff Setback: N 1/-1 L.ot Coverage: No c MRr�G� <br /> Eaisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' 2.9 �'Z� 2 y•g ' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Da[e of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />