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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: �5 5—p �r�rLo�2���A ST <br /> PID: <br /> DESCRIPTION OF WORK: o 0 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: S- I z - S 5 <br /> BUILDING REVIEW BY: DATE APPROVED: 5 - i i-4'j' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _�' No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L 2• ►C <br /> Fire Department: �/Vl,��rv,� Post Office: V,3 y�y�7�¢7�4 School District: w CS7 o�11c.y. <br /> LotArea: Sq.ft. Z5,3�5 Acres _ S�, Width (Rrl�.:`�u��-�2 Depth <br /> Survey Submitted: Yes DC No Date of Survey: —7- I y- 7 c��.r �=�t,,,�� <br /> Proposed Setbacks: <br /> F�rant(Lake): 12�-(� +� Right Side: l 6 � <br /> Rear (Street): �'t D � �— Left Side: N ��' <br /> Adjacent Structures: �Q-rT�u�� Wetland: /v�� <br /> Building Height: Def. Hgt. iJ (J�- Peal:Hgt. — <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: — By: � Council Approval Date: <br /> Septic: Staff Approval Date: -- By: ' <br /> Zoning File: # _ Resolution: # — Resolution Date: <br /> Shoreland District: �eS <br /> Avg. Setback: �U(/1 Bluff Setback: — LotCoverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 2 y•Z Z�t. ( <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No oL Date of Council Approval: <br /> REMARKS (in house)• <br /> 7 <br />