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` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �Z� �3 p F.{y� �o,�.r-r l�-o.a-l� <br /> PID: <br /> DESCRIPTION OF WORK: N C�� ��,5 , � ��:� • �/a(LA�(: <br /> ZO.vI�1i G REVIEW BY: DATE APPROVED: i 2 •�-v� <br /> BUII.DTi�tG REVIEW BY: DATE APPR�VED; i z_�_a� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERi1�1IT Yes ✓ No <br /> PLAi�1 REVIEW Yes � No SEWER CONNEC'I ION � <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION o� <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No �C _ SITEINSPECTION <br /> Number of SAC Units -r-�,,�S��-y� ���� ���r„� OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning Districr. (�/Z• �� <br /> Fire Department: S Post Office: � . School District: (�r,t��v-9 1 <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o� No Date of Survey: 1 2 •Z'�-o( <br /> Proposed Setbacks: H��s9 A2 l�.r GA�ri, <br /> Front (Lake): lroo'� Zg � t Right Side: �1.1 �u <br /> Rear (Street): i�U� � Zy•S"t Left Side: �o <br /> Adjacent Structures: (o b� Wetland: /v/A <br /> Building Height: Def. Hgt. Z 5 Peak Hgt. 3�•S <br /> Lot Coverage: I Z°7� <br /> Grading: Staff Approval Date: �2-7- v � By: � Council Approval Date: — <br /> Septic: Staff Approval Date: -- By: — <br /> Zoning File: # � � �-1►`1 Resolution: # K�0 g Resolution Date: /d•22 -ca r <br /> Shoreland District: y e�7 <br /> Avg. Setback: c9�t�- Bluff Setback: �//� L,ot Coverage: ! 2.`�� <br /> Ezisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' Z�-1.�� <br /> 250-500' z,g• 9 9 <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />