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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y b`�S C��qti s t� (?�� <br /> PID: <br /> DESCRIPTION OF WORK: �L,c�S (�—� <br /> ------------------------------------- ------- - -------------------------------------------------�-------------------- <br /> Z0�1ING REVIEW BY: � DATE APPROVED• 3-��-� � <br /> BUILDING REVIEW BY: DATE APPROVED: 3-►t�-�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: R(2-'� � <br /> Fire Department: MAPc,C P�hinl Post Office: /VIR�P�,ts Pi.,4„•J School District: �„J,psT-oNl�4� <br /> L.ot Area: Sq.ft. I� 9,-15 O Acres 2 •1 S Width ��,��u�/L2 Depth — <br /> Survey Submitted: Yes 7C No Date of Survey: 3-�5 -o( <br /> Proposed Setbacks: <br /> Front (Lake): �Oo•SZ Right Side: 5� � <br /> � <br /> Rear (Street): �rp' SO•S Left Side: rr.s'�- � 3��-� � <br /> Adjacent Structures: N��' Wetland: K I/�- <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: /�I //4 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: 3' �` ` n I By: ('L( •�• <br /> Zoning File: � — Resolution: # Resolution Date: <br /> Shoreland District: /V O <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardco�•er Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 27 <br />