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• • , <br /> 1 . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �`-{ `'I I� l C�c L� ��= p�Z <br /> PID: <br /> DESCRIPTION OF WORK: ���c_-� <br /> ------------------------------------ ----- -- ---------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: (�- �s •°� `� <br /> BUILDING REVIEW BY: DATE APPROVED: r� • 2 S - °t� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v No SEWER CONNECTTON <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <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: R R' �Q <br /> Fire Department: ��,n� (,f�t•c..'' Post Office: �✓5 �-t�" School District: aLLc�r�d <br /> �— <br /> Lot Area: Sq.ft. �UU GN�hN�Acres '— Width -- Depth "— <br /> Survey Submitted: Yes D� No Date of Survey: 7 ' �o' �Y <br /> Proposed Setbacks: � <br /> Front (Lake): (10 Right Side: �5 � 'E' <br /> � � <br /> Rear (Street): ��O Left Side: � � <br /> Adjacent Structures: ��r � Wetland: N�� <br /> Building Height: Def. Hgt. � �� Peal:Hgt. O �C <br /> Lot Coverage: d ►L <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> n Avg. Setback: Bluff Setback: Lot Coverage: <br /> .�J(� Existing Proposed <br /> �v 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 /> 7 <br />