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, <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: I��C� GA2���v Go�� <br /> PID: <br /> DESCRIPTION OF WORK: /vc� R�S. <br /> ZO.�1G REVIE`Y BY: DATE A.PPROVED: s-Zo -d 3 <br /> BUII.D�1G REV�W BY: DATE APPROVED; S-�-o� <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1ti1IT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWF�Z C0�INECITOIV <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes —� No SITEINSPECTION <br /> Number of SAC�Un.its OTHER (specify) <br /> ZONING CHE.CK LIST Zoning District: <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: S-�'�3 <br /> Proposed Setbacks: <br /> Front (Lake): �-I�.2� y Righ[Side: Z i.g �� <br /> Rear(Street}: I �i 1' �' Left Side: Z�•`i � h <br /> Adjacen[Structures: — �Vetland: -- <br /> Buiiding Hei;ht: Def. Hgt. 26•S Peal:Hgt. 3`1 <br /> L,ot Covera;e: — <br /> Gradin�: Staff Approval Date: 5 • � '° 3 By: r�J . Council Approval Date: — <br /> Septic: Staff Approval Date: �t//�F By: <br /> Zonin� File: # — Resolution: # � Resolution Date: <br /> Shoreland District: ��s <br /> Avg. Setback: �.v�/a- Bluff Setback: nl/� L.otCoverage: 0 •/� <br /> EzistinQ Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' � o•/� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />