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� . <br /> CI�ECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I-1 ZS C�r.�c�,z,�,,q s?-- <br /> PID: <br /> DESCRIPTION OF WORK: �C c�� ,2�,5 <br /> ZO.vI�ti G REVIEW BY: DATE APPROVED: io- 2 Y•o z <br /> BUILDI�i 1G REVIEW BY: DATE A.PPROVED: i o -LY-o Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�VIIT Yes ✓' No <br /> PLA��t REVIEW Yes �- No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �� PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC Units ��r-...,�,�,� ,,,,, OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Depar[ment: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: Dc.T Z3 n Z <br /> Proposed Setbacks: <br /> Front (Lake): -7 S� Right Side: � c9.g'S <br /> Rear (Street): �c��. rdz Left Side: 3�.�7 <br /> Adjacent Structures: �!� Wetland: /✓/A <br /> Building Height: Def. Hgt. Z�• S Peal:Hgt. 31•5 <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: �o-Zy-a Z By; � Council Approval Date: <br /> Septic: Staff Approval Date: `ll (/� By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: ��eS <br /> Avg. Setback: 0�K Bluff Setback: �J(/�r Lot Coverage: D •(< <br /> Eaisting Proposed <br /> Hardcover: 0-75' O <br /> 75-250' Zy"7 <br /> 250-500' l�.(� � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />