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� <br /> , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 Z'� �.1-��-v`t C,1�AS� ��2. <br /> PID: �(�- - //� � � �l c+d� 7 � <br /> DESCRIP'TION OF WORK: N C C�.3 (�-5 <br /> ----------------------------------- ------- -------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: Z-z 3��� <br /> BUILDING REVIEW BY: DATE APPROVED: z-Z3-S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �/ No SEWER CONNECITON <br /> STATE SUR`I-�ARG� Yes ✓ No WAT'ER CONNECTION <br /> INVESTIGAZ'ION FEE Z'es No PARK FEE <br /> SAC Ycs No o< SITEINSPECTION <br /> Number of SAC Units Tn�t�vsF�. �M OTHER (specify) <br /> -----------------------------------------------------------r1-`�?�`=°--------------------------------------------------- <br /> �o� ZONING CHECK LIST Zoning District: (Z' 1� <br /> � <br /> Fire Department: V.3A�z�4r�9 Post Office: �,s/�,•,,-�!� School District: w�Y?.�� <br /> Lot Area: Sq.ft. 2 Oy. Acres , S Z 9 Width DeP� � Y Z'Z <br /> Survey Submitted: Yes�_ No Date of Survey: 2 - 3-9'� <br /> Proposed Setbacks: <br /> Front (Lake): _ 3 S,`� Right Side: 3 .`l N <br /> Rear (Street): �{�( Left Side: 3`1• � �� <br /> Adjacent Structures: /�t (I'a- Wetland: 1l! (/'� � <br /> Building Height: Def. Hgt. �6-`�'� Peak Hgt. 2Z� <br /> Lot Coverage: �• � <br /> Grading: Staff Approval Date: 2•Z3 -9`t By: �`�_ Council Approval Date: — <br /> Septic: Staff Approval Date: /U//� BY: — <br /> Zoning File: # Z`�SS� Resolution: /{ Resolution Date: 2-22- 4 4 <br /> Shoreland Dist:ict: �_ <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 Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> . 26 <br />