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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADURESS OR LEGAL: I d 2.5 ,;,oN`onr� �,� sT. <br /> PID: � <br /> DESCRIPTION OF WORK: A�� ► r+ u� <br /> ----------------------------------------------------------------------------------------:-----_-------------- <br /> Z0�1ING REVIEW BY: C�,�e DATE APPROVED• �q 20•d3 <br /> BUILDING REV�W BY: DATE APPROVED: 0 •�-a3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> pLAN REVIEW Yes i/ No SEWER CONNECITON <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓" PARK FEE <br /> SAC Yes No v' SIT'EINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZOr�ING CHECK LIST Zoning District: ��`I G <br /> Fire Department: Post Office: School District: <br /> Lo[Area: Sq.ft.�5{�� , 3 Acres Width Depth <br /> Survey Submitted: Yes X No Date of Survey: (�`(- 9 6 <br /> Proposed Setbacks: <br /> Front (Lake): -?9 � �" Right Side: `d' <br /> Rear (Street): °I Z'f Left Side: (,2 ` '� <br /> Adjacent Structures: qrrc.Gc�� Wetland: rv (�� <br /> Building Height: Def. Hgt. 2 6•S Peak Hgt. 3�.� <br /> Lot Coverage: �•(L <br /> Grading: Staff Approval Date: ��/4 By: — Council Approval Date: — <br /> Septic: Staff Approval Date: N /A By: — <br /> Zoning File: # o,—Z6�1-7 Resolution: 1# y67�8 Resolution Date: 3-►3 - v � . , <br /> Shoreland District: v ES <br /> Av�. Setback: p.K. Bluff Setback: �/� I.ot Coverage: <br /> Existin4 Proposed <br /> Hardcover: 0-75' ' <br /> 75-250' 2t"l� 2� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> ! <br /> REVIARKS (in house): � ur��G� � -�-�^ r �r-� �+��:, ' ,; - ` <br /> � <br /> 7 <br />