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• CHECK OFF LIST FOR ISSUANCE OF PER1tiIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ' ^ C� f <br /> PID: <br /> DESCRIPTION OF WORK: � j <br /> ZO�YG REV�W BY: DATE APPROVED: �2-3 0-S� <br /> BUII.,DING REV�W BY: DATE APPROVED: ,-z- 3a - 91 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECITON <br /> STATE SUR�HARCr� Yes � No WATER CONNECfION <br /> INVESTIGA'I'ION�'EE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Z0�1ING CHECK LIST Zoning District: R�Z-��3 _ <br /> Fire Department: Post O`ffice: (A/�IG(J�r�GC^ School District: pR,p�..lo <br /> LotArea: Sq.fr. �� �?�-�i Acres �.c�v Widch Z`'ll�' Depth 25'i•�'d5 ��}Uc?- <br /> Survey Submitted: Yes pC No Date of Survey: l�.-I�- `►� <br /> Proposed Setbacks: <br /> Front (Lake): -1'�� Right Side: 5 5 � � <br /> � <br /> Rear (Street): � q0' Left Side: $7 �' <br /> Adjacent Structures: /�1 ��k 1�Vetland: I�I (� <br /> Building Height: Def. Hgt. �1� Peak Hgt. 2'1 •S <br /> Lot Coverage: N 1� <br /> Grading: Staff Approval Date: �Z•�c�-�i 7 By: .0. Council Approval Date: —' <br /> > <br /> Septic: Staff Approval Date: �'� By: _ <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dis�-ict: ND • . <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � (�� � Ezisting 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 /> RE1I�IARKS (in house): <br /> • 26 . <br />