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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��?� ;��v+►v �r�►v� <br /> PID: <br /> DESCRIPTION OF WORK: 2�.►c�- ��e�i-�.; r`�'1�.�; t�c;,�.� c�.:�2 �:o�cr:�a4.;�::. <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEPI BY: �� r' DATE APPROVED: f -f3 `� � <br /> BUILDING REVIEW BY: , �,, `. r}�,, L DATE APPROVED: ; - � 41�_ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v' No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ;/ No WATER CONNECT'ION <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: �1�-i� <br /> Fire Department: � ,v� � Post Offce: (�eai,, 1�tit.Z; School District: `;�:�„L;v <br /> � <br /> Lot Area: Sq.ft. �1i�?SC Acres � v� Width 3ri (_- Depth �2 2 5 <br /> Survey Submitted: Yes X No Date of Survey: j 1- ��= <br /> Proposed Setbacks: <br /> Front (Lake): �a S� Right Side: ��v <br /> Rear (Street): �G�� { Left Side: Z�iU <br /> Adjacent Structures: /}T>1c H c�'� Wetland: ti"�� <br /> Building Height: Def. Hgt. u.IG Peak Hgt. � t� <br /> Lot Coverage: I�I� <br /> Grading: Staff Approval Date: /�` ��fa By: - Council Approval Date: -' <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> ,�t P' Hardcover: 0-75' <br /> �" 75-250' <br /> 250-500' <br /> 5�0-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />