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� ' � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> . ADDRESS OR LEGAL: � �C� Q I(o �S(�a�iv� <br /> PID: <br /> DESCRIP'TION OF WORK: �'o A z c=/�� � �'yL� <br /> ZONING REVIEW BY: DAT'E APPROVED: 2 -Y- t Y5 <br /> BUILDING REVIEW BY: DATE APPROVED: 2-�t - � � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes �' No SEWER CONNECTTON <br /> STATE SUR`HARGL Yes ✓ No WATERCONNECTION <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONIl�TG CHECK LIST Zoning District: �� • <br /> Fire Department: Lo�.,c,(,4r�.T Post OfFice: ivoNtr School District: /11.TK� <br /> Lot Area: Sq.ft. 2 S,`�37� Acres .S`t Width `I� � Depth z 6�(� 6 /'4�'2 <br /> Survey Submitted: Yes pC_ No Date of Survey: (0 •2� - g 7 <br /> ProposedSetbacks: SI-�c/�� �d?��v �µGn (�qzc6o <br /> F�oix (Lake): ��.3� �`a �` Right Side: SD��' Zo f' <br /> � '� <br /> Rear (S�r�): �� �� Left Side: ,� � 6� <br /> Adjacent Structures: /v �� Wetland: /✓�� <br /> Building Height: Def. Hgt. � • �`� Peak Hgt. ��<< <br /> Lot Coverage: N�Oi' <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> �� Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dis�:ict: yQ5 <br /> Avg. Setback: o .(� Bluff Setback: N�A- LotCoverage: — <br /> � Existing Proposed <br /> Hardcover: 0-75' <br /> �s-aso� �.J� <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No D� Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />