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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t ZZ C►-�EV 4 C r-t�s-e <br /> PID: <br /> DESCRIP'TION OF WORK: Gq.�6� �Q. �c,•-� <br /> ------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: // -�s -g� <br /> BUII.DI�G REVIEW BY: DAT'E APPROVED: C I- �S•�`i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes �i' No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SI'TEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: IZ R -)� <br /> Fire Department: w��� Post Office: �,v/�t�y4-Tv� School District: ��y-� <br /> � <br /> Lot Area: Sq.ft. (a�$ O� Acres . y`'1 7 Width �p o Depth t q S <br /> Survey Submitted: Yes � No Date of Survey: '7- I b•S{J Co nr F)c.�.) <br /> Proposed Setbacks: � � <br /> Front (Lake): 7 5 fi Right Side: 1 2 �' <br /> � �. , �- <br /> Reaz (Street): tiS — Left Side: G`'� <br /> Adjacent Structures: �}7'TAc�+t:� Wetland: —' <br /> Building Height: Def. Hgt. O � k-- Peal:Hgt. 0.�L <br /> Lot Coverage: ��� �� <br /> Grading: Staff Approval Date: "— By: Council Approval Date: <br /> Septic: Staff Approval Date: �" By: <br /> Zoning File: # '— Resolution: # Resolution Date: <br /> Shoreland District: �� <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />