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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � 1�13 1=�(�Gt:I�►c=5 S �o r.�ri (�/-}-t� <br /> PID: <br /> DESCRIPTION OF WORK: �cU< <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONIl�TG REVIEW BY: DATE APPROVED: 5-� -�� <br /> BUILDING REVIEW BY: DATE APPROVED: S'• �• r� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <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 /> Z01�1ING CHECK LIST Zoning District: L2 - 1 L <br /> Fire Department: yVUo,,,nnn Post OfFice: V.1+�yZ4-i 1� School District: �e S�Nk-4 <br /> Lot Area: Sq.ft. /Vv Glfi4r�4•�Acres — Width ` Depth � <br /> Survey Submitted: Yes�_ No Date of Survey: 6 -3 t� •$� �n� �=���� <br /> Proposed Setbacks: <br /> Front(Lake): �(5 � Right Side: �lC� � ';' <br /> Rear (Street): t"?�' -1' Left Side: z�� �_ <br /> Adjacent Structures: �Q-��.u��� Wetland: /�J (A <br /> Building Height: Def. Hgt. p��c Peak Hgt. — <br /> Lot Coverage: � ,�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 /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � lL.. 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 />