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� <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> , ADDRESS OR LEGAL: �{ �,S`� 'T�onr��v i �:t�J LA�v�.r <br /> PID: <br /> DESCR.IPTION OF WORK: G�I��� �4/Jo �Jt o n� <br /> --------------------------------------------------- ------------------------------------------------------------------- <br /> ZONIl�G REVIEW BY: DATEAPPROVED: �i -i 5-oo <br /> BUILDING REVIEW BY: DATE APPROVED: 4 -�S-� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �� No WATER CONNECT`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: L/L• //3 <br /> Fire Departmenr. Y1M v� Post Office: YYW v,M/J School District: Uv eg T-?J N fc,.F <br /> Lot Area: Sq.ft. /v o C/-l�q„�.�cres — Width — Depth —' <br /> Survey Submitted: Yes C No Date of Survey: 5-/�(' 9 V <br /> Proposed Setbacks: <br /> Front (Lake): 1`1 3� ± Right Side: �j�i� } <br /> r � <br /> Rear (Street): ((q� — Left Side: I�(2� �' <br /> Adjacent Structures: (�-fT�GNrt�Y) Wetland: --- <br /> Building Height: Def. Hgt. C9�(�— Peak Hgt. (�. ,C. <br /> Lot Coverage: /V / � <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: '� By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y.�5 <br /> Avg. Setbac� �• )L. Bluff Setback: � f/a- L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' �- ��. <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_ L Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />