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, , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ( ?S C lt-t�S TY� G C/Z.c�"ik 2� <br /> PID: <br /> DESCRIPTION OF WORK: /V'E(,�I FZ E S <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: (v -Z 2- O� <br /> BUILDING REVIEW BY: DATE APPROVED: � •zZ� or� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes r/ No SEWER CONNECfION <br /> STATE SURCHARGE Yes v' No WATER CONNECfION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: �� 3' Post Office: � I � School District: (��� <br /> Lot Area: Sq.ft. �y',��((�.� Acres 3.33 Width �fZ(�:(�vG./O,tt.. Depth �' <br /> Survey Submitted: Yes pC No Date of Survey: (o'� -C�c� <br /> Proposed Setbacks: <br /> Front(Lake): $1•� l Right Side: I 70 <br /> Rear (Street): Z(v 6 Left Side: 3�1. `$3 <br /> Adjacent Structures: /V�� Wetland: 0�_ <br /> Building Height: Def. Hgt. �.G•'s Peak Hgt. 3�-( <br /> Lot Coverage: �J (� <br /> Grading: Staff Approval Date: 6 •22—�J By: � Council Approval Date: �" <br /> Septic: Staff Approval Date: ,:� Z"Z"-Go By: �'� <br /> Zoning File: # '—" Resolution: # � Resolution Date: <br /> Shoreland District: N a <br /> Avg. Setback: Bluff Setback: I.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): � �L�D��r� �i��5-C " Y �Q���""� �-'�i(�n`" <br /> 5 =v�. - Q s.� f3���cr►�- ✓�r� ,^-r�'v <br /> 27 <br />