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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: I 1 `�v G A 2�c rv (��2 r <br /> PID: <br /> DESCRIPTION OF WORK: �/�ctis i7�,s <br /> ZO.vI�Ti G RE'VIEW BY: DATE APPROVED: <br /> BUII,DPIG REV�W BY: DATE APPROVED; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAi�1 REVIEW Yes ✓' No SEWER COivNECTION <br /> STATE SURCHARGE Yes v No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ,/ PARK FEE <br /> SAC Yes ✓ No SITEINSPECT'ION <br /> Number of SAC�Units 1. OTHER (specify) <br /> ZONI�IG CH�CK LIST Zoning District: <br /> Fire Departmenr. Post Office: School Districr. � <br /> Lot Area: Sq.ft. `�f3,q35. Z Acres /./ Z Width �R/����Z Depth <br /> Survey Submitted: Yes_� No Date of Survey: �f• Z K-�� <br /> Proposed Setbacks: <br /> Front (Lake): 3� �`7•� � Right Side: 3 S•� <br /> Rear(Street): �25� ± Left Side: ��•2 <br /> i� <br /> Adjacent Structures: �/!+� �Vetland: �� <br /> i <br /> Building Hei;ht: Def. Hgt. 2`t Pealc Hgt. 3 t�` <br /> Lot Coverage: �3.�3�� <br /> Grading: Staff Approval Date: s-� -o� By: �� Council Approval Date: <br /> �� <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # -- Resolution: # Resolution Date: <br /> Shoreland District: /IJC� <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 /> RENIARKS (in house): <br /> 7 <br />