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F � . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZZ,.�� �-=R,�.�cC,t-( (,4f� rZp,q.(� <br /> PID: <br /> DESCRIPTION OF WORK: �q Rq b L �A-()p i � a� <br /> -------------------------------------- -------- --------------------------------------------------------------------- <br /> ZONING REVIEW BY: , �,�. DATE APPROVED: .�-�7-a � <br /> BUILDING REVIEW BY: DATE APPROVED: S'- 7- � , <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 WATERCONNECT'ION <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: (��'�� <br /> Fire Deparcment: �tS (�� Post Office: � School District: (,�� <br /> L.ot Area: Sq.ft. �o c Hstsvc,.� Acres Width Depth <br /> Survey Submitted: Yes o� No Date of Survey: /2•!Z� $� �o.v 1=i ��� <br /> Proposed Setbacks: <br /> Front (Lake): f�{0� ± Right Side: /3 c� � i' <br /> Rear (Street): �{f6� � Left Side: 7 Z•y � <br /> Adjacent Structures: Wetland: N�/� <br /> Building Height: Def. Hgt. d � « Peak Hgt. � <br /> Lot Coverage: /V/� <br /> Grading: Staff Approval Date: /`��/t By: -- Council Approval Date: — <br /> Septic: Staff Approval Date: /l/�/1- By: — <br /> Zoning File: # '— Resolution: # — Resolution Date: <br /> Shoreland District: /�R� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing 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 /> REMARKS (in house): <br /> 7 <br />