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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ,3-� _�5' �`�.�,�,z�- ,�� <br /> PID• ���-� i �' � � _3 �.� �U/f <br /> DESCRIPTION OF WORK: l',���t�v <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �� C�v�:.--- DATE APPROVED: ��:; �;-y�; <br /> BUILDING REVIEW BY: ' �- ', � DATE APPROVED: i �; s�.����, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes '�' No SEWER CONNECTION <br /> STATE SUR`I�ARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Y�s No �� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: ('.('.`1 I�� <br /> Fire Department: (�,��,:.,�;r.c_ Post Office: (.,r,���� l,'� School District: �(��,^,1;L� <br /> Lot Area: Sq.ft. M� �r�%r� Acres — Width Depth � <br /> Survey Submitted: Yes X No Date of Survey: .�—y -�� <br /> Proposed Setbacks: i <br /> Front (Lake): ��(b t- Right Side: 5 �� <br /> ' -4- <br /> Rear (Street): 2�G.; � Left Side: /�%i(� <br /> Adjacent Structures: AzTV'rG�+�%t'� Wetland: �U(� <br /> Building Height: Def. Hgt. t� � K , Peak Hgt. �,K <br /> Lot Coverage: (��k <br /> Grading: Staff Approval Date: �u'(F By: — Council Approval Date:' <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> p Existing Proposed <br /> N•1} � 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 /> 26 <br />