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. � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1��''��,`� (`c_J t,° ,� ,; i ��c :�? . <br /> PID: �'�(- s�`� �, �:z- .:��- � C� 3 � <br /> DESCRIPTION OF WORK: �' � - � <br /> IG.�1f.Lc C.�, G�iC�`J bt:"lC_LK, J`l-Cr;J� <br /> ZO�tI��1G REVIEtiV BY: ' �„�{.��.,� DATE APPROVED: ;� - �� -c ' �- <br /> BUILDING REVIEW BY: � ,,� DATE APPROVED: Z- � -v Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ;/' No <br /> PLAN REVIE`V Yes � No SEWER C0�INECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No r� PARK FEE <br /> SAC Yes No r/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -----------------------------------_w_w_------------------------------------------------------------------------ <br /> Z0�1I�1G CH�CK LIST Zoning District: L r? !C_ <br /> Fire Department: ������ Post Office: Ul,c��;��;�:�"t�- School District: (Li.[;i��'�C,���L����`�Y�L'�- <br /> Lot Area: S ft. � ' De [h ��lL� � <br /> q• �Cr��(c C` Acres e (< �-- Width /.�--.3 P <br /> Survey Submitted: Yes� No Date of Survey: C� � (�7'C � <br /> Proposed Setbacks: <br /> Front (Lake): �7�'` Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: - Wetland: -- <br /> Building Height: Def. Hgt. - Peal:Hgt. � <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: !#L�� -:�"7�'�� Resolution: #y .J�� Resolution Date: �1��C�� � C�'' / <br /> Shoreland District: ! i�� !� <br /> Avg. Setback: - Bluff Setback: — L.ot Coverage: -- <br /> Existing Proposed <br /> Hardcover: 0-75, r( � � � �c'!c� ) �J�� ; '� �`'lc � <br /> 75-250' (c C_�;`�4 �:_;�� ��`�'�'� � C'(:C�� ��f,3::�°%v� <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes_� No Date of Council Approval: `? � (L' C'/ <br /> REMARKS (in house): <br /> 7 <br />