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� <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ,� :; /� � ` '� . - <br /> PID: <br /> DESCRIPTION OF WORK: �e�-J E�S <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZOti Iti G REVIEW BY: � DATE APPROVED: �o-1 b-��3 <br /> BUILDING REVIEW BY: DATE APPROVED: l p-c�-g� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR:f�ARGL Yes � No WATERCONNECTION <br /> INVESTIGA'I'ION FEE I'es No ✓� PARK FEE <br /> SAC Ycs No �G SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: Q R-!L� <br /> Fire Department: �A�/ �'�u-' Post Office: (c�� ��%' School District: Q/�� <br /> Lot Area: Sq.ft. g�l�"7lS ± Acres Z-o5 � Width /-}�-�� Dep[h 33/•�/Z <br /> Survey Submitted: Yes < No Date of Survey: $-Z� ' �� <br /> Proposed Setbacks: <br /> Front (Lake): _ jZ • � Right Side: �7 <br /> Rear (Street): Z.Z.Z- } Left Side: �D`1 <br /> Adjacent Structures: N I/� Wetland: /V/�A- <br /> Building Height: Def. Hgt. 3c� Peak Hgt. �� S <br /> Lot Coverage: /J(g- <br /> Grading: Staff Approval Date: !d '16� 5� By: �'�` Council Approval Date: — <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: /# "' Resolution Date: <br /> Shoreland Dist�ict: N� <br /> Avg. Setback: Bluff Setback: Lot 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 />