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, , � . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �Q�j C� �/�/-f C (Loq-�J <br /> PID: <br /> DESCRIPTION OF WORK: /�-p(�� n oN ��Oc.SZ <br /> ---------------------------------------------- ----------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: � - S - � Z <br /> BUILDING REVIEW BY: DATE APPROVED: s - 9 - o Z. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes r�- No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTTON <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: Post Office: School District: <br /> LotArea: Sq.ft. y3,So"1 Acres - °1`�°4`� Width i/U�G��. Depth <br /> Survey Submitted: Yes _� No Date of Survey: piv F'�� 7- 1 1- 7�-Q� <br /> Proposed Setbacks: <br /> Front (Lake): � Sn� �= Right Side: I b� <br /> Rear (Street): �$� � t Left Side: �1 S� <br /> Adjacent Structures: �q�a�,a-e�9 Wetland: �1 I P <br /> Building Height: Def. Hgt. 0� )< Peal:Hgt. (9, j.� <br /> Lot Coverage: C�, K <br /> Grading: Staff Approval Date: — By: Councii Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: ��iS <br /> Avg. Setback: d.IL Bluff Setback: /v �/�- L.ot Coverage: �,(� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' j 6�'"jv l �°� � <br /> 500-1000' - <br /> Hardcover Variance Required: Yes No c_ Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />