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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 261� C O v n�T Rt,S�✓11Z ✓J 2 W <br /> PID: <br /> DESCRIPTION OF WORK: i4,�d,;,.,,�,3 <br /> ___��__�_�------------------------ ---M_________-----------____________�-- <br /> ZONING REVIEW BY.• �„Q(Q,�,,� DATEAPPROitED:�,.�-p g <br /> B UILDING RE f�IEW B Y� �p� -w_�--�-+--r--__NDATEAPPRO VED.�N b'9=o g-- - <br /> FEES TO BE CHARGED: Misc. Fees Calculated B}': <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW Yes_� No SEWER CONNECTIOIV <br /> STATE SURCHARGE Yes �/ .No ti�ATER CONNECTION <br /> INVESTIGATION FEE �"es No PARK FEE <br /> SAC Yes No__� SITEINSPECTION <br /> ]V'umber of SAC Units OTHER (spec�) <br /> --------------------------_--------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Gi idth Dep[h <br /> Survey Submitted: Yes� N'o Date of Survey: �l-I'S—�5 <br /> Proposed Setbacks: <br /> F�-ont(Lake): loSB� Right Side: "It�' w <br /> Rear(Street): 3t90 ' -�- Left Side: !os` � <br /> Adjacent Structures: (v��q K etland: �/J� <br /> Building Height: Def Hgt. �,� Peak Hgt. - <br /> Lot Coverage: n1�� <br /> Grading: Staff Appr�oval Date: -22-(9 S� By: (�•(� . Counci/Approva!Date: <br /> Septic: Staff.dpproval Date: �_ /U�_ 81,: � <br /> Zoning File: # — Resolution: TM Resolution Date: <br /> Shoreland Dist�-ict: � NIC6�D Pe�-mit: <br /> .Avg. Setback: Blz ff Setbac�: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-7,i' <br /> ?�-_'�0' <br /> ?.i 0-.500' <br /> �00-1000' <br /> Hardcover (ar•iance Reqarired: 3'es ��"o Date of Coanacil.�pp�•oval: <br /> REMARKS(i�r house): <br /> 33 <br />