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� CHECK OFF LIST FOR ISSUAi�TCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: 33?� F ox s;�,�-=T <br /> PID: <br /> DESCRIP'I'ION OF WORK: /v�(�s {Z.�, S <br /> ZO.�tIvi G REV�`V BY: DATE APPROVED: �i- -7- c�S <br /> BUILDI�i �'G REVIE`V BY: _� DATE APPROVED: � •-�__ 05 <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No c/ PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC Units ��rr,� OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZO��tIVG CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. � ;�5 � � '�� Acres 3.IU Width Depth <br /> Survey Submitted: Yes_ c� No Date of Survey: g-►-OS <br /> Proposed Setbacks: �3 3� .� <br /> Front (Lake): � Right Side: ��.(o <br /> Rear (Street): ��Z+' Left Side: 30' 1�,.�s-c 2s I-lo�-�+/3 <br /> Adjacent Structures: N 1� Wetland: 26' <br /> Building Height: Def. Hgt. 2°r � Peak Hgt. 3�i' <br /> Lot Covera�e: N I � <br /> Grading: Staff Approval Date: �7•Z�- � S By: TK��o Council Approval Da[e: <br /> Septic: S[aff Approval Date: S•L� - �i By: W- � • <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y.pg <br /> Av�. Setback p, k.- Bluff Setback: ,n� �+`� L.otCoverage: /�11.9 <br /> Existin� Proposed <br /> Hardcover: 0-7�' � �— <br /> 7�-250' u <br /> 2�0-500' i�. 1 cl <br /> �00-1000' �� �b <br /> Hardcover Variance Required: Yes No ,7� Date of Council Approval: <br /> RE1�iARKS (in house): <br />