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, CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR O�FICE US� ONLY <br /> ADDRESS OR LEGAL: __ /l a�� �'�v� y�,���� ,�� <br /> PID: <br /> DESCRIPTIO�T OF WORK: (V E(,,� ('?�S • <br /> -------------------------------------- ------ --------�--------------------- <br /> -------------------------------------- <br /> ZONING RE��IEW BY: DATE APPROVED: 7 •2Z-4£� <br /> BUILDING REVIEW BY: DATE APPROVED: � -ZZ-4 43 <br /> F`EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes r No SEWER CONNECTION <br /> STATE SUR`HARGL Yes � No WATERCONNECTION <br /> INVESTIGA'I'ION FEE Z'es No PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------�=---------------------- <br /> ZONING CHECK LIST Zoning District: Q�Z-1 Q <br /> Fire Department: Post Office: ���C��_ School District: U 12:C�NV <br /> Lot Area: Sq.ft. �}7,�'�I y,y Acres Z.3�( Width S 1(•`19 Depth Z�3•Z Z <br /> Survey Submitted: Yes_� No Date of Survey: �-L�j'�J� <br /> Proposed Setbacks: _ <br /> Front (Lake): _ ( •2 Right Side: � .Z N <br /> Rear (Street): ,30� Left Side: 5 6• � 5 <br /> Adjacent Structures: �lJ�/� Wetland: N�/4 <br /> Building Height: Def. Hgt. 'L�( Peak Hgt. 'Z�j•s <br /> Lot Coverage: (����- <br /> Grading: Staff Approval Date: � -3( -�'7 4'� By: '�-�. Council Approval Date: <br /> Septic: Staff Approval Date: Z� 3�-S�8 By: S•w• <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: I,ot Coverage: <br /> ERiSling Proposed <br /> ��' Hardcover: 0-75' <br /> 7�-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): ��� :yP '� v;,tio.,� L� a�-'L�-�,c:;,.� �: ,(�-�,;,�.r"' <br /> r�� �?��:,�r -- <br /> � 26 <br />