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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: r � 6� G��c..��,.,�eA s�72��r- <br /> PID: <br /> DESCRIPTION OF WORK: rvE� �2.�-s - <br /> _ ____ _ --__________------------------------------------------------------------ <br /> ZO.�i G REVIEW BY: ��.,,__ DATE APPROVED: 9• z c �vz <br /> BUII.DI�i 1G REVIEW BY: DATE APPROVED; g•�-0 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERiV1IT Yes ✓- No <br /> PLAi�1 REVIEW Yes ,i No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNEC"ITON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � � STTEINSPECTION <br /> Number of SAC Units " ,��` f OTH R specify) <br /> -- --------__------------ --- - - --- - -`�-'-�� ��----=---- - --- --------- <br /> ZO�tG CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres 5 � Width �e�,,,�� �� z, Depth <br /> Survey Submitted: Yes� No Date of Survey: $•13-�2 <br /> Proposed Setbacks: <br /> F�taat (Lake): �b�� Right Side: 2 W•5 <br /> Rear (Street): `�7•�d Left Side: I t.S <br /> Adjacent Structures: /�t I,p �Vetland: /V �,/1- <br /> Building Hei�ht: Def. Hgt. 2"7 ' Peal:Hgt. 3y•�5 � <br /> Lot Coverage: f►•? <br /> Grading: Staff Approval Date: _ �- 2?_ u 2 By: �a• Council Approval Date: <br /> Septic: Staff Approval Date: N�/� By: <br /> Zoning File: # o Z•Z'l�(0 Resolution: # Resolution Date: �!- 2Z-�2 <br /> Shoreland District: y�PS <br /> Avg. Setback: v.(L Bluff Setback: N 1�`' Lo[Coverage: 1 I."1 <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' �-`f-3 �/.bq <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> RENIARI�S (in house): <br /> 7 <br />