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.. . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 20 t O C'�t--�� �►Z1 Vl-:.. <br /> PID: - <br /> DESCRIPTION OF WORK: ORCh�4 I�f��J ( i10� <br /> ---------------------------------------- ------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: 1_2,� -S S <br /> BUILDING REVIEW BY: DATE APPROVED: -� • Z7-�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v No <br /> PLAN REVIEW Yes � No SEWER CONNECT'ION <br /> STATE SURCHARGE Yes _�� No WATERCONNECTION <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: RR-\� <br /> Fire Department: (,�Nf�(�(� Post Office: (�ti� (Jac�,L; School District: b�ZO N� <br /> Lot Area: Sq.ft. /Uv C y-rqrv Acres Width Depth <br /> Survey Submitted: Yes�C_ No Date of Survey: 8'l S'–�!S �.., �/�� <br /> Proposed Setbacks: <br /> Front (Lake): I Ub� + Right Side: (00� �" <br /> � <br /> Rear (Street): 1 no� � Left Side: 10o t <br /> Adjacent Structures: ��-r�c c�Y� Wetland: /J(� <br /> Building Height: Def. Hgt. (�.I� Peal:Hgt. — <br /> Lot Coverage: N �� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: • - <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> �� ' Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />