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� � <br /> � �' f �, �� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ��DRESS OR LEGAL: ='���� `j��%�, �J c� ,� � _" . <br /> ' -�'ID: <br /> DESCRIPTION OF WORK: �-�,-�- `' <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: �, Z�-�i�: <br /> BUILDING REVIEW BY: �,,,�;,,,` DATE APPROVED: � - �� -`i�' <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 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 LI5T zoning District: f:' �-I� <br /> Fire Department: (ro.v � �.G Post Office:���j C��L' School District: C��-�'%/`r� <br /> Lot Area: Sq.ft. ,�� �lH+�r�cres Width Depth <br />� Survey Submitted: Yes � No Date of Survey: d•v i=��-L= %o i D 77 <br /> Proposed Setbacks: <br /> Frent (Lake): 3c�c � ';" Right Side: 1 l�C `{' <br /> . r ; ..� <br /> Re�tr-(Street): -1 v u – Left Side: ��>� <br /> Adjacent Structures: � �� Wetland: fl.' I t°! " <br /> Building Height: Def. Hgt. — Peak Hgt. "' <br /> � Lot Coverage: <br /> N Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: � ��'S <br /> Avg. Setback: U t� 1r– ?�t-�= Bluff Setback: ��l/'�- Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' U (� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No �- Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />