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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /�5o CH�RRti /�u-s <br /> PID: <br /> DESCRIPTION OF WORK: �?.CT�riv,ivb �,.�a�c�s --- <br /> Z0�11�i 1G REVIE`V BY: DATE APPROVED: G •L�'i-0 5' <br /> BUILDING REVIE`V BY: DATE APPROVED: `- z5 -os- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _,G No <br /> PLAN REVIEW Yes �/ No SEWER CO�INECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZOi�1I�tG CH�CK LIST Zoning District: Lk- �/.� <br /> Fire Department: Post O�ce: School Dis[rict: _ <br /> Lot Area: Sq.ft. 22,9s7 Acres .52� Width Depth <br /> Survey Submitted: Yes � No Date of Survey: 3-�� '�`( <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: ��A <br /> Adiacent Structures: Wedand: <br /> Buildin� Height: Def. Hgt. Peal:Hgt. <br /> Lot Covera�e: nI(A <br /> S.lS-n5 <br /> Grading: Staff Approval Date: (,•Zq•d s,RJ. By: ��M Council Approval Date: (,• L 7• d 5 <br /> ILG��bt� <br /> 0 <br /> Septic: Staff Approval Date: �/� By: <br /> Zoning F1e: # o y-2Q�9 Resolution: # Resolution Date: 6 Z�- o j <br /> Shoreland District: �t�.e3 Lot Covera�e: N 1� <br /> Avg. SetbacK: N�d} Bluff Setback: N 1.9 <br /> Eustina Proposed <br /> 0 <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No �_ Date of Council Approval: <br /> RE`�1ARKS (in house): <br /> � <br />