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_ ^ '�'�• <br /> • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S S S 1�� �_�i�i��,�u: <br /> PID: <br /> DESCRIPTION OF WORK: }K , �i.0,,� r'�p;�-� n o•L <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> � <br /> ZONING REVIEW BY: � '„ l DAT`E APPROVED: �c - z -c � <br /> BUILDING REVIEW BY: � -' DATE APPROVED: r�- z - �Z <br /> ----------------------------------------------�'------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �:/ No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes r/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. '"��,°I b � Acres �. �l��� Width t t'Lt-i=��✓}+L- Depth <br /> Survey Submitted: Yes_ �.,� No Date of Survey: �,� ��-�t.C- <br /> Proposed Setbacks: <br /> Ri ht Side: '7S� r <br /> Front (Lake): I��� { S <br /> Rear (Street): � �p` ± Left Side: �vd i t <br /> Adjacent Structures: d� ,�c,�-�e,�' Wedand: n;t/� <br /> Building Height: Def. Hgt. v•�- Peal:Hgt. — <br /> Lot Coverage: /J�� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # Resolution: {i Resolution Date: <br /> Shoreland District: �l)U <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />