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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l�t O C4(�►'v�:.`� Pu�c�. <br /> PID: <br /> DFSCRIPTION OF WORK: (�0(� i�r-��,�5 (�A RA�c�, F �c�e� eRc,�t 1 <br /> ZO'vING REV�W BY: ,^ DATE APPROVED: `�- S-�t7 <br /> BUII.,DING REVl�W BY: DATE APPROVED: � - 5- 5 7 <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes (� No <br /> PLAN REVIEW Yes � No SEWER CONNECITON <br /> STATE SUR`HARCr� Yes ti No WATER CONNECITON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOi�tING CHECK LIST Zoning District: (ZR• 1� <br /> Fire Department: �,v � Post O�ce: ," School District: ���u <br /> I�_ <br /> Lot Area: Sq.fr. .b�! Acres 2'^1,9 i 3 `Vidth ,�W 2_ Depth (�1 S <br /> Survey Submitted: Yes� No Date of Survey: � • 1'+i - $g <br /> Proposed Setbacks: Po c.�t Ai c= P�2c.H G A KA�C: <br /> Front (Lake): Right Side: 4�d` <br /> Rear (Street): 4 b� Left Side: <br /> Adjacent Structures: IqTr1�C.t+c;� Wefland: N�(� <br /> Building Height: Def. Hgt. � 0.(� Peak Hgt. d,� <br /> Lot Coverage: `?°T� <br /> Grading: Staff Approval Date: N �I�j- By: — Council Approval Date: � <br /> Septic: Staff Approval Date: P�l �Y�- By: — <br /> Zoning File: # Z Zl�L Resolution: # �R�{O Resolution Date: 1 • Z� -�1� � <br /> Shoreland DisL-ict: IU O <br /> Avg. Setback: Bluff Setback: Lot Coverage: '�'1 70 <br /> � Ezisting Proposed <br /> Hardcover: 0-75' <br /> rj.P 75-250' � � <br /> 250-500' • <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMA,RKS (in house): <br /> • 26 . <br />