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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE US ONLY <br /> ADDRESS OR LEGAL: ���5 -�D�� C�'vYY�� _ <br /> PID• 0�- �i�- a 3 �a. o �li <br /> DESCRIPTION OF WORK: �,A-N4f,�, ,�,�J p i�o�r f (?x-�•,•�.�,b,tc� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: c� C�— DATE APPROVED: 3-�z-�t$ <br /> BUILDING REVIEW BY: ,,SL �� DATE APPROVED: 3 - «,-�,� <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 WAT'ERCONNECTION <br /> INVESTIGATION FEE Yes No P�1RK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: CR��� <br /> Fire Department: CY�ov,nt�p Post Office: ��ro Jrr� School District: w �Sro r�sk..A <br /> Lot Area: Sq.ft. No Gt�i-�� Acres -- Width �/1/LE"6u(e1FrC.. Depth <br /> Survey Submitted: Yes �C. No Date of Survey: <br /> Proposed Setbacks: <br /> Fu��t (Lake): 2o S�2 Right Side: Z,`�l � <br /> �(Street): ��J �'4' Left Side: I 0 S <br /> Adjacent Structures: A'rr�c.H-c�� Wetland: /�f (� <br /> Building Height: Def. Hgt. (9, � Peak Hgt. — <br /> Lot Coverage: C9� k– <br /> Grading: Staff Approval Date: /`� ��- By: Council Approval Date: <br /> Septic: Staff Approval Date: �1 /�R- By: <br /> Zoning File: # -- Resolution: # ' Resolution Date: <br /> Shoreland Districr. y�S <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' /�!•7 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> REMARKS (in house): p�c� �vo� �/Yc�c-��� ,�� P61,v�.ir-- <br /> 7 <br />