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.. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �°►2-� C�o�w z'�-cT Cl,�,/� �Ca MO <br /> PID: <br /> DESCRIPTION OF WORK: ('��M�,c- r/�-Dr� ► �on� • <br /> -------------------------------------------------- -------------------------------------------------------------------- <br /> ZONING REVIE�'�J BY: DAT`E APPROVED: �- Y• S� <br /> BUILDING REVI�;W BY: DATE APPROVED: b- Y- 5$ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes �/" No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONI�'G CHECK LIST Zoning District: L/z-�� <br /> Fire Department: G�N s Post Off ce: (�� (�vt� School District: b n,o�ru <br /> Lot Area: Sq.ft. No Acres — Width Depth � <br /> Survey Submitted: Yes oC No Date of Survey: S• IS�• ts� <br /> Proposed Setbacks: � <br /> Front (Lake): $2 � ; Right Side: j Z � <br /> Rear (Street): 23^?� '� Left Side: ,$� � � <br /> Adjacent Structures: /�TT1A�.L(�.� Wetland: N C� <br /> Building Height: Def. Hgt. p. (�- Peak Hgt. �" <br /> Lot Coverage: O•�� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> eptic: Staff Approval Date: By� <br /> Zoning File: # Resolution: # Resolution Date: <br /> NIp, Shoreland District: <br /> �� Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />