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' ' � � CHECK OFF LIST FOR ISSUANCE OF PERl�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z1� 5 ►�J c�R �N ''�+��- ��sT <br /> PID: <br /> DESCRIPTION OF WORK: �ilc.G�/ /Z�S . <br /> ZONING REVIEW BY: DATE APPROVED: Y-6 -�� <br /> BUII.DING REVIEW BY: DATE APPROVED: �!- 6 -v D <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes _�G No SEWER CONNEC'TION <br /> STATE SURCHARGE Yes �/ No WATF.�tCONNECITON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No ✓ SI'TEINSPECTION <br /> Number of SAC Units OTI�R (specify) <br /> ZONNG CHECK LIST Zoning District: R(Z'�� <br /> Fire Department: (,(��r6 (�4-(�c% Post Office: (,c�nrb �(u: School District: �2�I,onl� <br /> Lot Area: Sq.ft. Ln Acres Z -� Width /9 h Depth <br /> Survey Submitted: Yes � No Date of Survey: 3-I�(- �o� <br /> Proposed Setbacks: � <br /> Front (Lake): � �3 + Right Side: �,0.'� <br /> Rear (Street): z� o ' = Left Side: SS•5 7 <br /> Adjacent Structures: /V(r4 Wetland: /UlA <br /> Building Height: Def. Hgt. ►�j �� Peak Hgt. Z$ <br /> Lot Coverage: N �l¢ <br /> Grading: Staff Approval Date: �(- 6 ��v By: � �1 - Council Approval Date: N�O9 <br /> Septic: Staff Approval Date: `'1' �O - �`� By: G• ►� <br /> Zoning File: # — Resolution: # — Resolution Date: —' <br /> Shoreland Disuict: N U <br /> Avg. Setback: Bluff Setback: Lot Caverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 27 <br />