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� = CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: ZZZ� Qy�Yv�c;r��1 Pc�4c� <br /> PID: <br /> DESCRIP'TION OF WORK: Nt�fi� �S <br /> -------------------------------------- ----- --------------------------------------------------------------------- <br /> ZOr'Pi 1G REVIEW BY: DATE APPROVED: �/ •L 6 -d 2 <br /> BUILDING REVIEW BY: DATE APPROVED; �f - � - eZ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAi�1 REVIEW Yes �/' No SEWER CONNECITON <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units � �� � OTHER (specify) <br /> . <br /> t � <br /> - �L�'-------- =- ' -{,-�-----����-�----------- <br /> ZONING CH�CK LIST Zoning District: � <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 7r s d� Acres �i-1 Z Width � Depth (So <br /> Survey Submitted: Yes_� No Date of Survey: y-/Z-O I <br /> Proposed Setbacks: <br /> Front (Lake): �{0 � Right Side: I O <br /> Rear (Street): (,�i' Left Side: ►� <br /> Adjacent Structures: �t5� Wetland: /J�� <br /> Building Height: Def. Hgt. 30 Peal:Hgt. 3 K <br /> Lot Coverage: � I �oa s� � <br /> Grading: Staff Approval Date: I I-L t -a 2 By: �c�, Council Approval Date: <br /> Septic: Staff Approval Date: /v J/� By: <br /> Zoning File: #Z,6�d`f 2�9� Resolution: # Resolution Date: 7•Z't--o 2 <br /> Shoreland District: y.P� <br /> Avg. Setback: n1/� Bluff Setback: N/,�- Lot Coverage: p.(C <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' 0. �� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />