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CHECK OFF LIST FOR ISSUA.��tCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I�H� C3 vH rv5 ��,N� (�O� <br /> PID: <br /> DESCRIPTION OF WORK: ns E�,�s iZc s <br /> ZO.vP1i G RE'VIE`V BY: DATE APPROVED: �t-�z-0 5� <br /> BUII�DI�'G REVIE�V BY: DAT'E APPROVED: 9 -�z—o s- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC Units 6i�,,,,�,�.�,�d� �,,',N„�-��s�� OTHER (specify) <br /> ---------------------------------------------- ------------�------------------------------------------------------ <br /> ZONI�IG CH�CK LIST Zoning District: G2-�� <br /> Fire Department: Pos[O�ce: School District: <br /> Lot Area: Sc.ft. `f 4,i Z 9 Acres I.o t Width Depth <br /> Survey Submitted: Yes oC No Date of Survey: �-3� •°S <br /> Proposed Setbacks: <br /> Front (Lake): I t g�� Right Side: 3�•� <br /> Rear (Street): 1't.._9 Left Side: 5�-� <br /> Adjacent Structures: r/ VI�' Wetland: yl/�v(�7 <br /> Building Hei�ht: Def. Hgt. 3D� Peak Hgt. 3°T�S <br /> Lot Covera�e: I�-3�6 <br /> ,o 1�- <br /> Grading: Staff Approval Date: �• � 3 '"s�d•��By: � Council Approval Date: <br /> Septic: Staff Approval Date: N ( � BY� <br /> Zoning FIle: f# -- Resolution: # � Resolutioa Date: �— <br /> Shoreland District: -P5 <br /> Av�. Setbac : v . Bluff Setback: N/A I.ot Coverage: <�• 3� <br /> ExistinQ Proposed <br /> Hardcover: 0-7�' 4 J � <br /> 7�-250' ,3a.o� zY_+� <br /> 2�0-500' <br /> 500-100a' <br /> Hardco��er Variance Required: Yes Iv'o �_ Date of Council Approval: <br /> R]E�IARKS (in house): <br />