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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3'y�� Ct�-�(STY}L (���v c_.C_. <br /> PID: = <br /> DESCRIPTION OF WORK: � L 7��� �-� ��,��,� <br /> ----------------------------------------- - - ------------------------------------------------------------------- <br /> ZONING REVIEW BY: � .� DATE APPROVED: g ��(� c���, <br /> BUILDING REVIEW BY: � c �';�, ��. DATE APPROVED: jy' r c% <<� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes c/ No WATERCONNECTTON <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: L/'�i C- <br /> Fire Department: (,cr�,• U��U:; Post Office: Lt;r�c�(.�,L School District: v,�t�,v� <br /> Lot Area: Sq.ft. (�, b'� lo Acres � �5 Width 5Z%' Depth 1 '�� <br /> Survey Submitted: Yes J� No Date of Survey: !- �Z-�1 � <br /> Proposed Setbacks: <br /> Front (Lake): i b Z Right Side: Z 3 � <br /> Rear (Street): _� Left Side: � <br /> Adjacent Structures: 2�� � Wetland: hJ �� <br /> Building Height: Def. Hgt. L . I� Peak Hgt. " <br /> Lot Coverage: 2 Z <br /> Grading: Staff Approval Date: /� {�`' By: Council Approval Date: <br /> Septic: Staff Approval Date: J�( � By: • - <br /> Zoning File: # "Z-��S Resolution: # Resolution Date: <br /> Shoreland District: y'f 5 <br /> Avg. Setback: /U i��a Bluff Setback: !`'/�� Lot Coverage: 2` <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' `� ,(o <br /> Hardcover Variance Required: Yes >-- No Date of Council Approval: 7 -Z-7 �7� <br /> REMARKS (in house): <br /> 7 <br />