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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t 3�t C 1-� c'c,v y C 4-t�A S� <br /> PID: <br /> DESCRIPTION OF WORK: �N T�Ly (,,4� � -f-1 b r�J <br /> ZOti"Pi tG REVIEW BY: DATE APPROVED: °r -�v-�vc <br /> BUII..D�1G REV�`V BY: DATE APPR4VED: � - r� - n� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�VIIT Yes �/ No <br /> PLA�v REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�tING CH�CK LIST Zoning District: (Z-1/� <br /> Fire Department: W�y-u..� Post Office: ��,pr�,,-�--�-r� School District: �„��ar..�-�.4��3 <br /> Lot Area: Sq.ft. /Uo c.1�Frwbe Acres �va C/�i4rv�e Width — Depth — <br /> Survey Submitted: Yes oc No Date of Survey: o,� �_��,�, -t-��.- b 1 <br /> Proposed Setbacks: <br /> Front (Lake): $S� �' Right Side: 40� } <br /> Rear (Street): I 8p' '�' Left Side: SS3� '� <br /> Adjacent Structures: N(Ih Wetland: N 1 v4 <br /> Building Height: Def. Hgt. U� � Peak Hgt. U�l� <br /> Lo[ Coverage: C9�1�- <br /> Grading: Staff Approval Date: N � 14 By: Council Approval Date: <br /> Septic: Staff Approval Date: N� l�4 By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: 11�(� <br /> Avg. Setback: Bluff Setback: Lot Covera�e: <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 /> RE1�IARKS (in house): <br /> 7 <br />