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� • . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ,ADDRESS OR LEGAL: ►y 1� G ti..� c �,��1�� <br /> PID: <br /> DESCRIPTION OF WORK: ��� n��,J <br /> --------------------------------------- -- ------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: g •Y-o t <br /> BUILDING REVIEW BY: DATE APPROVED: 9- Y-�1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes ✓' No SEWER CONNEC'I`ION <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: L1Z- !(3 <br /> Fire Department: ��n,�l� Post Office: yy�o�,�, p School District: �,p S-ro��, <br /> Lot Area: Sq.ft. 22,�� 5 2.s Acres - Sz Width ( op Depth Z�'�•�Z- <br /> Survey Submitted: Yes pt, No Date of Survey: oGr � S Z <br /> Proposed Setbacks: <br /> Front (Lake): t tig�� Right Side: Z�g' <br /> Rear (Street): f$(,` Left Side: y 0 <br /> Adjacent Structures: A�c.t,� Wetland: �114- <br /> Building Height: Def. Hgt. (9 •lr. Peak Hgt. <br /> Lot Coverage: �(,'3"7u <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: --� By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y 8,s <br /> Avg. Setback: �,K Bluff Setback: — Lot Coverage: (1.3`rju <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' �.y 'Z-3•'Z <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No p�- Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />