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r � � • <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: �'-{ 'Zp �Ur-trvS ���>rti� C���.O <br /> PID: <br /> DESCRIPTIONOFWORK: ��n,�! � n��1 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: — � - � �..��-- DATE APPROVED: , i � Z ; `; �> <br /> BUILDING REVIEW BY: � , i �, ,,� DATE APPROVED: r Z.—L� -- r�� <br /> FEES TO BE CHARGED: � Misc. Fees Calculated By: <br /> PERMIT Yes _��� No <br /> PLAN REVIEW Yes ��' No SEWER CONNECITON <br /> STATE SUR��iARGE Yes F�' No WATER CONNEC"TION <br /> INVES"TIGAT'ION-FEE Yes No ,.,-- PARK FEE <br /> SAC Yes No �� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: t,2 13 <br /> Fire Department: (,on> �AtiC t- Post Office: �,��;�,--t,��7'Y'� School District: �)lL����� <br /> � <br /> LotArea: Sq.ft. rt',� �,i��4-,v�;RAcres — Width — Depth — <br /> Survey Submitted: Yes o� No Date of Survey: ��u �'�w � z,� �y <br /> Proposed Setbacks: <br /> Front (Lake): �`� Right Side: (o � f `' � <br /> Rear (Street): E �ZZ7"�`� � Left Side: � 7�7��` ^' <br /> Adjacent Structures: /-�77�^rcFrc,� Wetland: � /.�i <br /> Building Height: Def. Hgt. C'' � �� Peak Hgt. � <br /> Lot Coverage: �4'//� <br /> Grading: Staff Approval Date: %`t//-� By: � Council Approval Date: " <br /> Septic: Staff Approval Date: �l' !� By: � <br /> Zoning File: # J�'l<4- Resolution: # — Resolution Date: —' <br /> Shoreland Dist:ict: �'<'-� <br /> Avg. Setback: ���K- Bluff Setback: N r� Lot Coverage: N/fJ <br /> Existing Proposed <br /> )-75' <br /> O � -�v l �S`.� 'S-250' ����v /�r I �,?�, <br /> . T `�,-p c��n�-� <br /> �S 50-500 � <br /> P.w►-. oo-i000� <br /> ��'� F�u+'�-'� <br /> S��,P� � Required: Yes No � Date of Council Approval: <br /> �A'�- _(�r s � � <br /> ,�..,� � ��°7 <br /> fv-`�„�s � <br /> � 26 <br />