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. � <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ,�7.�� �L�c,�2..��c.��z...r_����e�= <br /> PID• D -�l`7 - - <br /> DESCRIPTION OF WORK: ' <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIE�J BY: ;��.,�,,(,,��.�,�.,�;�,��__ DATE APPROVED: ''• ���- •`�_� <br /> BUILDING REVIEW BY: ' ��•,'� . DATE APPROVED: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ,�- PARK FEE <br /> SAC Yes No L--� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: /��`` ��--' <br /> Fire Department: C..�=�v- (i4-�� Post Offce: Cci�-,�4-G�=-�= School District: ���-'�"�'U <br /> Lot Area: Sq.ft. Nd GN►4r��s Acres �� Width — Depth �-' <br /> Survey Submitted: Yes '?� No Date of Survey: �N �i(.xs �-�-�� <br /> Proposed Setbacks: 80, <br /> Front (Lake): 2►� }' Right Side: ; i= <br /> Rear (Street): ��'S � � Left Side: ( I b� f W <br /> Adjacent Structures: I� � Wetland: /��/1 <br /> Building Height: Def. Hgt. /v� ((a- Peak Hgt. <br /> Lot Coverage: G.i` <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> , <br /> Septic: Staff Approval Date: ���ol By: <br /> �Zoning File: # Resolution: # Resolution Date: <br /> �,�'� Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> SOO-lOOO' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />