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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S��t t=L RN�O F�u� )'?.�r4-� n1 <br /> PID: <br /> DESCRIPTION OF WORK: �A-N!b c,_.-� pQ-0,0 r i�v� <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATEAPPROVED: (-s"'oo <br /> BUILDING REVIEW BY: DATE APPROVED: � -5-o� <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONI�i TG CHECK LIST Zoning District: Q/�-) Q <br /> Fire Department: w py-t,��r�. Post Office: w�4t,�,d..� School District: W yq.�,,--�,4�y4. <br /> Lot Area: Sq.ft. ( 0 v,l�5 Acres Z• �'13 Width 22�.47 /��w Depth `�6 3.0 8 �11fQ <br /> Survey Submitted: Yes�_ No Date of Survey: 1 -� -o c� <br /> Proposed Setbacks: <br /> Front (Lake): SS�� � Right Side: � � � �' <br /> i .a. 1 .� <br /> Rear (Street): 3S� Left Side: 6s <br /> Adjacent Structures: F}T�-v�c t+�`) Wetland: �B,p' <br /> Building Height: Def. Hgt. p ,L�- Peal:Hgt. — <br /> Lot Coverage: � 1� <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 /> (9• Avg. Setback: Bluff Setback: L.ot Coverage: <br /> 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 />