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�i. � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3'-{p� C2-�S�Y�- QR�-t �� <br /> PID: <br /> DESCRIPTION OF WORK: c� C -� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: ' � ��.•...._. DATE APPROVED: �� - t 1 -�? � <br /> BUILDING REV�W BY: � � .� „ ,� DATE APPROVED: '�1 - t 7 - ��? <br /> -----------------------------------------------C ----------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SUR`I�ARGL Yes �.--� No WATERCONNECTION <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: !�'�� <br /> �:� -r�-;�► <br /> Fire Department: rti����+� Post Office: ���� School District: v�il���' <br /> Lot Area: Sq.ft. i 0,;�j�`t•?,� Acres � 2� Width sv � Q�`�l Depth ( (�� �c <br /> Survey Submitted: Yes �� No Date of Survey: 7�`/� (�`-( <br /> Proposed Setbacks: <br /> �reat (Lake): �(;,� Right Side: �� � <br /> F�ear (Street): j(,` Left Side: l� ` <br /> Adjacent Structures: �� � Wetland: ti �� <br /> Building Height: Def. Hgt. �i .I� Peak Hgt. � <br /> Lot Coverage: �:,CL <br /> Grading: Staff Approval Date: /� i � By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: ��s _ <br /> Avg. Setback: ni ;/1. Bluff Setback: �--' '�- Lot Coverage: ti'f c� <br /> Existing Proposed <br /> Hardcover: 0-75' �-�''� <br /> 75-250' Z- '1 v ��� 5`7 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No ;� Date of Council Approval: <br /> REMARKS(in house): <br /> � 26 <br />