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, <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ _ 3355 CR.y�Tqt QAy I�� <br /> PID: <br /> DESCRIPTION OF WORK: C;��.Pp�tc J ��c� <br /> -r—.� <br /> --------------------------------------------------------------------------------------------------�-----'------------- <br /> ZONING REVIEW BY: (�,u.— DATE APPROVED• // I y-�r� <br /> BUII.DING REVIEW BY: „� DATE APPROVED: ��-�y -S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes r/' No SEWER CONNEC"ITON <br /> STATE SUR`HARGE Yes �/ No WATERCONNECITON <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y;:s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: L2-( C.. <br /> Fire Department: �/�p J��_ Post O�ce: U.sNQy`i�-t�Yk School District: (,�e.g`�r�Y--4- <br /> —� <br /> Lot Area: Sq.ft. S, t�1� Acres � �Z Width u�2,.i�,� Depth <br /> Survey Submitted: Yes OC No Date of Survey: <br /> Proposed Setbacks: <br /> �i <br /> Front (Lake): _ � Right Side: 2`� 5��' <br /> � � <br /> Rear (Street): � Left Side: 3•$ <br /> Adjacent Structures: /�}T1�4�(tc:"� Wetland: /I/'f/d- <br /> Building Height: Def. Hgt. /l� �M� Peak Hgt. — <br /> Lot Coverage: ��4/l��}Nc.n <br /> Grading: Staff Approval Date: rf(� By: -- Council Approval Date: � <br /> Septic: Staff Approval Date: /� ��" gy: �" <br /> Zoning File; # 23�1 Resolution: # Resolution Date: /(�- 2.7- S 7 <br /> Shoreland DisLict: <br /> Avg. Setback: C�. � Bluff Setback: �/1/J- L.ot Coverage: V/�vh'`'�-P <br /> � Existing Proposed <br /> Hardcover: 0-75' Z!•5 � °� `� <br /> 75-250' �io �St.Z <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes_`� No Date of Council Approval: (O- 2."7- � <br /> REMARKS(in house): <br /> • 26 <br />