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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY • ' <br /> ADDRESS OR LEGAL: I�Z v �o� s—rct,�-Z� <br /> PID: <br /> DESCRIPTION OF WORK: �,a„�.1,/� ✓���cti.--c�.�r�c•—� ti �i2�v-�W�t <br /> ZO�G REVIEW BY: DATE APPROVED: i o-zm ��.5 <br /> BUILDI�IG REVIEW BY: n� (r9 DATE APPROVED: <br /> ----------------------------------- - ------------------------------------------------------------------ I <br /> FEES TO BE CHARGED: �' 6�'�''`jMsc 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 STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOiVPi 1G CH�CK LIST Zoning District: (2{2.-i r3 <br /> Fire Department: (,on16�� Post O�ce:��G�L4c.e.�s School District: O��+� <br /> Lot Area: Sq.ft. tio c a,r-,�-w�,cAcres �- Width — Depth '— <br /> Survey Submitted: Yes � No Date of Survey: '1• t 3'�� <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> I'V. V-� <br /> Adjacent Structures: Wetland: <br /> Buildin� Height: Def. Hgt. Peal:Hgt. <br /> Lo[Coverage: � <br /> Grading: Staff Approval Date: �� •'1.�•�S By: 1U. Council Approval Date: /� '1�- S S <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # 2 5 2�-1 Resolution: # `�,, �.7 Resolution Date: /D• �l'4� <br /> Shoreland District: i✓v <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Ezisting 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 /> REi�IARKS (in house): � Dv�L t�o Cv� +G V✓�-�.5 w � n-� G�� -� <br /> r � -,5,�� ►= �:.--� <br /> � <br />