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. � CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ti U�0 d�14 H L 2-e��� <br /> PID• - % /i 7 :_� � i i o�� � <br /> DESCRIP'TION OF WORK: S�-�Sor•� o�c,l�- <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: S-I Y-�g <br /> BUILDTivG REVIEW BY: DATE APPROVED: ,�-i Y-g w <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <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: L2-/�3 <br /> Fire Department: Y�W�n��O Post Office: ,�nrov�v�0 School District: w e5TOn1Kv4 <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes x No Date of Survey: �-� -5`� <br /> Proposed Setbacks: � <br /> � (Lake): l('� '� Right Side: y�� � <br /> Rear (Street): ( u�{' +' Left Side: lot� + <br /> Adjacent Structures: rQTTrqu-l�—'►'� Wetland: N/✓-} <br /> Building Height: Def. Hgt. � .(� Peak Hgt. — <br /> Lot Coverage: ���� <br /> Grading: Staff Approval Date: — By: — Council Approval Date: — <br /> Septic: Staff Approval Date: — By: ` <br /> Zonin� File: # — Resolution: # — Resolution Date: -- <br /> Shoreland District: vL S /'Pd� s�h' �r��� <br /> Av�. Setback: o•1� Bluff Setback: �.t` � L,ot Coverage: C9 � <br /> Existing Proposed <br /> Hardcover: 0-75' 7(� •�b <br /> 75-250' I�,.�3 l l. .2b <br /> 2�0-500' t�l•w �`�•� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No .�— Date of Council Approval: <br /> REiI�ARKS (in house): - <br /> 7 <br />