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�C� . �. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �C;�i Fc���tv�.>;3 l..i:. j�o,�c� ��v <br /> PID: <br /> DESCRIPTION OF WORK: _ ���� ; n�tii C i 2-�.iti�v c�:-.t.._ <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �-� ;, �, � �' <br /> DATE APPROVED: i ` :S `��7 <br /> BUILDING REVIEW BY: � .z;,,_��-� DATE APPROVED: t - � ��'7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t-�'" No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR:�ARGL Yes v'' No WATERCONNECTION <br /> INVESTIGAI'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: (��j?-t t� <br /> Fire Department: v�„r�.�-v}-r� Post Office: t,�,�,�,-t,q-� School Districr. �� r�7Zq--t� <br /> L.ot Area: Sq.ft. ti� c i����� Acres -- Width — Depth " <br /> Survey Submitted: Yes ,�t No Date of Survey: ,'Z - Z� -`�f.E;. <br /> Proposed Setbacks: <br /> Front (Lake): Z ''S� � Right Side: ��> � * �- <br /> Rear (Street): �1c� � + Left Side: 3� � � <br /> Adjacent Structures: r�i'��cs' Wetland: lv�(�}- <br /> Building Height: Def. Hgt. C'• C�- Peak Hgt. �< (� <br /> �Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Y Y� . <br /> Shoreland Disl_ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Existing Proposed <br /> � Hardcover: 0-75' <br /> 1 75-250° <br /> � zso-soo� <br /> ; 5�-��0� <br /> � <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> � <br /> REMARKS (in house): <br /> 26 <br />