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. � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t�35 Gc���-�2�,►� <br /> PID: <br /> DESCRIPTION OF WORK: A od, r,��v <br /> ---------------------------------------------- ------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � C� DATE APPROVED: /�•�3•a Z <br /> BUILDING REVIEW BY: DATE APPROVED: �i-, 3 •�L <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 CONNECTION <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_r� No Date of Survey: �( -1 S• o� <br /> Proposed Setbacks: <br /> F-Fe�xt (Lake): 80� Right Side: �{(g,� -� <br /> Rcar(Street): 33�� Left Side: �7� *-' <br /> Adjacent Structures: A�u-r� Wetland: N)i1 <br /> Building Height: Def. Hgt. U•�- Peak Hgt. c�•(r�- <br /> LotCoverage: /1J��A <br /> Grading: Staff Approval Date: (I • I 3 ��L By: � Council Approval Date: — <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y.ps <br /> Avg. Setback: c�.w Bluff Setback: Nl/� LotCoverage: N jA <br /> Existing Proposed <br /> Hardcover: 0-75' � o �� <br /> 75-250' �o Z�{-c, <br /> 250-500' �Z y,2 _ <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />