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' CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �5 C2v sr��. G�Z�'�K <br /> PID: <br /> DESCRIPTION OF WORK: �E� �5 <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: S - �3'4f� <br /> BUILDING REVIEW BY: DATE APPROVED: 5•�3• S`� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �' No . <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTION <br /> STATE SUR`�ARGL Yes �' No WATERCONNECTION <br /> INVESTIUAZ'ION FEE 1'es No PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L/2•�/j <br /> Fire Department: (,,c�N �Gv Post Office: (,�,r�c,(�t�tc,� School District: b cZurvp <br /> Lot Area: Sq.ft. ��,��5���� Acres Z.-o�( �- Width 2�(`7•g Z Depth 3�S•?7 pve, <br /> Survey Submitted: Yes �( No Date of Survey: S •Y•`lg <br /> Proposed Setbacks: <br /> Front (Lake): _ 5�' � Right Side: 35 � <br /> Rear (Street): 2.35� � Left Side: 1 1� � = 5 <br /> Adjacent Structures: �/ //�.. Wetland: /V 1�4 <br /> Building Height: Def. Hgt. �o' Peak Hgt. ZS' <br /> Lot Coverage: N ��' <br /> Grading: Staff Approval Date: 5- � 3 - y�E By: p�a .. Council Approval Date: N/�4 <br /> Septic: Staff Approval Date: , �i/ '-�� By: �,�/ <br /> Zoning File: # — Resolution: # — Resolution Date: '"' <br /> Shoreland Dist_�ict: � <br /> Avg. Setback: – Bluff Setback: – L.ot Coverage: ' <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 /> • 26 <br />