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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: •-� <,'c�l��j ,�'���:�v ����' `�. r �� � <br /> PID: <br /> DESCRIPTION OF WORK: ,�.`�,_t_ <br /> ZONING REVIEW BY: � ' r �w�,� DATE APPROVED: "1 - /c� �.�. <br /> BUILDING REVIEW BY: _ ' � DATE APPROVED: � -�t� 4i.� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SUR��IARG� Yes �'' No WATERCONNECTION <br /> INVESTIGATION-FEE Yes No �.a-- PARK FEE <br /> SAC Yes No -�' SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �r�` � �- <br /> Fire Department: �'I�t,v�,;;v � Post Office: t,v A��v��� School District: ,t� c�r�t,�L:.��t <br /> Lot Area: Sq.ft. �J�S i t•2 Acres = ? Width �?.t% Depth Z5�( Zi�% 14��k <br /> Survey Submitted: Yes X No Date of Survey: � 3� � �7� <br /> Proposed Setbacks: � <br /> �t (Lake): t`�7 Right Side: �5 {' <br /> �eRr(Street : � <br /> ) �� Z Left Side: 3 �� <br /> /4�c.t�c�=-n <br /> Adjacent Structures: � _ Wetland: ,'�.' 14� <br /> Building Height: Def. Hgt. �Z` Peak Hgt. �`4'�' <br /> Lot Coverage: ����- <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> rJ',�' Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: �F j <br /> Avg. Setback: c�.�L Bluff Setback: N i�- Lot Coverage: C� -�L <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' i � �� -?I.3 f> <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_� Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />