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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1�`i� i=i�c;c;(Zy'���',5 t����:- I�-e-•.`+-►� <br /> PID: <br /> DESCRIPTION OF WORK: �;���;r�t�, i`�r�l) �T�v�'�-� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � '�v.r�. DATE APPROVED: � -i�3 �r� <br /> BUILDING REVIEW BY: DATE APPROVED: � -i g �, � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes t� No SEWER CONNECTION <br /> STATE SUR`I�ARGE Yes �/ No WATERCONNECTION <br /> INVESTIGAT'ION FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: C,�^-1�- <br /> Fire Department: J'�10��v J� Post Office: ,;ti^.a"�/.�� School District: c:v�-S i�ti�c.:l- <br /> —� <br /> Lot Area: Sq.ft. t 7, 3 Z� Acres .3`=I Width /��� y y Depth !/5.1 V �`'`� <br /> . <br /> Survey Submitted: Yes �( No Date of Survey: Z-� � �y ] <br /> Proposed Setbacks: , <br /> F�rent (Lake): 133 �� Right Side: Z�. 3 �$ <br /> f�ear (Street): Zt,.� Left Side: 1 u? � �_' <br /> Adjacent Structures: (}TTY��t-Ec� Wetland: �'�t� <br /> Building Height: Def. Hgt. v� K--- Peak Hgt. ' <br /> Lot Coverage: 1 U �3 <br /> Grading: Staff Approval Date: Z-� �-`�� By: d`,C:, Council Approval Date: — <br /> Septic: Staff Approval Date: �'� �' � By: <br /> Zoning File: # �� `� Resolution: # �S t1 f� ' Resolution Date: Y -Z� '�l 7 <br /> Shoreland Disc:ict: �f't�5 <br /> Avg. Setback: ("i� l� Bluff Setback: /� 1� Lot Coverage: ( l. 3-� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' Z+� ,� �-Y � <br /> 250-500' <br /> 500-1000' <br /> ,�7 <br /> Hardcover Variance Required: Yes � No Date of Council Approval: v-z� - <br /> REMARKS (in house): <br /> � 26 <br />