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. � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: C�6S �1rc�tz� r'�.R�bv�c�: <br /> PID: � <br /> DESCRIPTION OF WORK ��w �2�5. <br /> ---------------------------------------------- ----------------------------------------------------------±------o------ <br /> ZONING I�EVIEW BY: � DATE APPROVED: � !6 3 <br /> BUILDING REVIEW BY.• DATE APPROVED: � - r L •o-3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLANREVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes�� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITE INSPECTION <br /> Number of SAC Units ��� �ru..�, OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. �I �,2.�3 S Acres 2•5 S Width 2�g.3 5 Depth 31 3 <br /> Survey Submitted: Yes�c_ No Date of Survey: ( - 1-u3 <br /> Proposed Setbacks: , <br /> Front (Lake): Z Q `c3 Right Side: 1'1 v� <br /> Rear (Street): `�S� Left Side: 3c�� <br /> Adjacent Structures: 3� Wetland: <br /> Building Height: Def. Hgt. 30 Peak Hgt. 3� <br /> Lot Coverage: /U y►�1 <br /> Pc�.Ec.�M. �►Pl��a-� <br /> Grading: Staff Approval Date: � - ��- d 3 By: oPr�� Council Approval Date: -- <br /> Septic: Staff Approval Date: I-(6 -�� By: /h Q <br /> Zoning File: # — Resolution: �# — Resolution Date: -- <br /> Shoreland District: �'U C7 <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 Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />