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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t�'�. �� 'j',_ �.,� --c_ <br /> PID: �� ���- �/ 7�� � �. '� � �"�' 9 � <br /> DESCRIPTION OF WORK: /�, ��. ,�� :, �-��, . , <� ._ <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: I� '� 4,_ DATE APPROVED:�� � 3� �c� <br /> BUILDING REVIEW BY: � ' � DATE APPROVED: �-S •�:. ;tu <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: F�^_ (4,;�c..%�c�., <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTIONl�2��`�"� <br /> STATE SUR:I�IARGE Yes r.� No WATERCONNECTION <br /> INVESTIGAZ'ION FEE Yes No � PARK FEE <br /> SAC Yc,s �C No SITEINSPECTION <br /> Number of SAC Units � OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONI1o1G CHECK LIST Zoning District: L2-1 L <br /> Fire Department: y�r�;;u�f w'� Post Office: nnC�;v�t� School District: �/t,�L�S'7'L`�►K� <br /> Lot Area: Sq.ft. Ib, LS`� Acres . 3 7 Width �vv Depth ( �,Z,5� �Q <br /> Survey Submitted: Yes� No Date of Survey: �� - �``t(� <br /> Proposed Setbacks: ,, <br /> Frovt (Lake): 3�-•I j � Right Side: `�5 �- <br /> Rear (Street): �� �- Left Side: (O •5 � <br /> Adjacent Structures: N (�� Wetland: I'V i/� <br /> Building Height: Def. Hgt. �� Peak Hgt. 1�.5'-? '� <br /> Lot Coverage: �7 ��� <br /> Grading: Staff Approval Date: I� ' 3 i - `1�, By: �'.v Council Approval Date: N�h <br /> Septic: Staff Approval Date: N� 14 By: <br /> Zoning File: # �.v`f S Resolution: # '3�7 Z• Resolution Date: 3 - i~y -`i t�, <br /> Shoreland Dist:ict: �' `> <br /> Avg. Setback: �J���� Bluff Setback: /�,' %�-? L.ot Coverage: '��7� <br /> Existing Proposed <br /> Hardcover: 0-75' N�+�1 <br /> 75-250' N�'�1� <br /> 250-500' %S`' � � <br /> 500-1000' Nrrf <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS (in house): <br /> 26 <br />