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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: .� ;� 1`_� ��F r '< �� l�r r c.L_ <br /> PID: <br /> DESCRIPTION OF WORK: r�r.,�, ,-�,��;-, �,� � �;,arn.�� t �'-,��,:��.Ls��;���:: <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZOVLr'G REVIEW BY: �--' ''., � ;,,�;�._._ DATE APPROVED: 3 ?� � �+`t <br /> BUILDIi�'G REVIEW BY: � _�',��;?, (��,r,,,,� DATE APPROVED: � z�t -`i� <br /> ----------------------------------------------� ------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1v1IT Yes i/ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZO��1G CH�CK LIST Zoning District: �'.F�-i i> <br /> Fire Department: (_,t>,.;� U!i� Post O�ce: �.k:����.��=c� School District: u f1�;-�= <br /> Lot Area: Sq.ft. �7, 15-U Acres � Width 3't�: Depth Z-Z'� <br /> Survey Submitted: Yes X No Date of Survey: �r� .=c� y-ZZ-�`?' <br /> Proposed Setbacks: <br /> Fron[(Lake): 1 H� � Right Side: Z Z� � �' <br /> Rear (Street): I Z'(�,� "�= Left Side: i 3�i �- <br /> Adjacent Structures: �'rT�C c(ti t� �Vetland: /ti �d� <br /> Building Height: Def. Hgt. V .� Peak Hgt. — <br /> Lot Coverage: N � r� <br /> Grading: Staff Approval Date: -- By: �— Council Approval Date: — <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: �%G <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing 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 /> REMARKS (in house): <br /> 7 <br />