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� ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (b�3S (= o x sT <br /> PID: <br /> DESCRIPTION OF WORK: A �,�� r►o nJ - <br /> ---------------------------------------- ------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: !�- Y� �i�J <br /> BUILDING REVIEW BY: DATE APPROVED: c c� - �( - 9�i <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes `� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ 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: R(L`1 (� <br /> Fire Department: s Post Office: W�lyz�� School District: �f�rv a <br /> Lot Area: Sq.ft. Z�,�7 v Acres S•Oc� Width I�2�Z-�=��s�h� Depth — <br /> Survey Submitted: Yes� No Date of Survey: Q•Zb�O�`1 <br /> Proposed Setbacks: <br /> Front (Lake): ��o� �' Right Side: Z50� �' <br /> Rear (Street): 6 SZ�� Left Side: 2 l�� "1' <br /> Adjacent Structures: N ��'�- <br /> Wetland: 100� '� <br /> Building Height: Def. Hgt. o • � Peak Hgt. p.,��- <br /> Lot Coverage: N (� <br /> Grading: Staff Approval Date: —' By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: #�N�/1 Resolution: # Resolution Date: <br /> Shoreland District: �e`7 <br /> Avg. Setback: (9.K Bluff Setback: N �A Lot Coverage: Iv�A- <br /> l Existing Proposed <br /> Hardcover: 0-75' O O <br /> 75-250' �l•��b I I•S v <br /> 250-500' (o•1( �o•I� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />