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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 ZLS (32AGK-�T"ts Po,n� ,— I�o� <br /> PID: <br /> DESCRIP'I'ION OF WORK: /��Cw 2,E5 <br /> ZOVL�IG REVIEW BY: DATE APPROVED: -1 �2.3 •o�( <br /> BUII�Di�i IG REYIE'�V BY: DATE APPROVED; —t •z3-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1ti1IT Yes ✓ No <br /> PLAiv REVIEW Yes ✓ No SEV�E.R C0�1NEC'I'ION <br /> STATE SURCHARGE Yes No WATERCO�INECTTON <br /> TNVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYING CHE.CK LIST Zoning Discrict: L/e-!/4 <br /> Fire Department: � Post OfFice: School District: <br /> L.ot Area: Sq.ft. Acres Widch Depch <br /> Survey Submitted: Yes�_ No Date of Survey: 'j- I • d'-1 <br /> Progosed Setbacks: <br /> �'(Lake): 93� ± Right Side: 2�io' � <br /> R��ff(Street): S�� = Left Side: N�A <br /> Adjacent Structures: N I►� �Vetland: — <br /> �Building Hei�h[: Def. Hgt. O,��- Pea.l-Hgt. <br /> Lot Coveraoe: /1�A <br /> fi�� Council A roval Date: b•�K-o <br /> Gradino: Staff Approval Date: 7 - Z3 -C�� By: � pp K <br /> Septic: Staff Approval Date: N I�► BY� <br /> Zoning File: # o�-J��'Z Resolution: � S/9S ResolutioaDate: � 6 '�`f-�Y <br /> Shoreland District: y�5 <br /> Avg. Setback �.� Bluff Setback: �l/3 L.ot Coverage: /►//A <br /> EzistinQ Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcove� Variance Required: Yes No Date of Council Approval: 6-�'�- '�Y <br /> REMARKS (in house):'�GoN o .�so n..o1 w� ,r -4�� c�� ��+,,�e... �-��� <br /> v <br /> 7 <br />