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� CHECK OFF LIST FOR ISSUANCE OF PERIVIITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 2 3 c� (,3�4 v i �5 w �(.4 c.2 <br /> T <br /> PID: <br /> DESCRIPTION OF WORK: �20�s� <br /> ZO�'G REV�W BY: DATE APPROVED: S • � r7 -4� <br /> BUILDI�i tG REVIEW BY: DATE APPROVED: s^-��- 5� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes s/ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------_---------------------------------------------------------------------------------------------------- <br /> ZONII�IG CH�CK LIST Zoning District: L2 - (�- <br /> Fire Department: /vc���.�M Post Office: �}0�1�'f'l� School Disuict: l.�c5�'��� <br /> Lot Area: Sq.ft. 1v� c.-� Acres Width Depth <br /> Survey Submitted: Yes oL No Date of Survey: "����- °+ 5 <br /> Proposed Setbacks: <br /> Front(Lake): �15 � Right Side: fq 3 ' <br /> Rear (Street): �0-� � = Left Side: i � ` <br /> Adjacent Structures: ��c/-�c.� Wetland: /1//� <br /> Building Height: Def. Hgt. v •�� Peal:Hgt. <br /> Lot Coverage: /v//2- <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: �5 <br /> Avg. Setbac /�l�- Bluff Setback: �lJ /� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' _�_ �•S <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />