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, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: Z�15 �J�2. �Z.�N `«��- <br /> PID: <br /> DESCR�'TION OF WORK: �V�� l2G S <br /> ZONING REVIEW BY: DATE APPROVED: 2• Z.o-4� <br /> BUII.DI�i tG REV�W BY: DAT'E APPROVED: Z. zo-�i Q, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �' No <br /> pLAN REVIEW Yes c� No SEWER CONNEC"TION <br /> STATE SUR�HARG� Yes � No WATERCONNECTION <br /> INVESTIGA�'ION FEE Yes No PE1RK FEE <br /> SAC Y:;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOi�tING CHECK LIST Zoni.ng District: Q�l-1 a <br /> Fire Department: (J�N 6 �A� Post Office: (b N� (1k1� School District: p t2.�N o <br /> Lot Area: Sq.ft. Z �4 C.R��s —` Acres Z -� Width l n�-t:���-� Dep[h <br /> Survey Submitted: Yes�_ No Date of Survey: Z '`�'`��3 <br /> Pro osed Setbacks: <br /> P Front (Lake): _ �1 Z•t Right Side: � 2 ?st�= <br /> Rear (Street): 375 , '= LeftSide: 3�•Z � w <br /> Adjacent Structures: /V � �' Wetland: �9• � <br /> Building Height: Def. Hgt. 3(�� Peak Hgt. �[O ` <br /> Lot Coverage: N/A- <br /> Grading: Staff Approval Date: 2-Zp-S� By: -O Council Approval Date: N�/E <br /> Septic: Staff Approval Date: ��"�s�� By: � � <br /> Zoning File; # Resolution: # Resolution Date: <br /> Shoreland DisL-ict: <br /> Avg. Setback: Bluff Setback: L.o[Coverage: <br /> � Ezis[ing Proposed <br /> N.�� Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house)• <br /> � 26 <br />