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f <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 17� G LEN/�Au: DR► vC: <br /> PID: <br /> DESCRIP'TION OF WORK: �,�,� � n p N - <br /> ZOr�i G REYIEW BY: DATE APPROVED: 5'- zZ.•o Z <br /> BUII.DI'�i 1G REVIE`� BY: DATE APPROVED: 5-Zz �a z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIVIIT Yes �/ No <br /> PLAi�1 REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNEC'ITON <br /> INVESTIGATION FEE Yes No �_ PARK FEE <br /> SAC Yes _ C� No SITEINSPECTION <br /> Number of SAC Units _S_ � R-,-r,q����� �'�. OTHER (specify) <br /> u�- o Z. r ----------- <br /> ---------------------------------�_�w�--------5------- ------ �,- -t-----j---------------- <br /> ZO�TING CH�CK LIST Zoning District: T`� �� ���� <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: 2-1 �4`S�S <br /> Proposed Setbacks: <br /> Front (Lake): 23�1.� � `= Right Side: ��t o.�� �' <br /> Rear (Street): "11� � Left Side: 3R 5� '= <br /> Adjacent Structures: — Wetland: — <br /> Building Height: Def. Hgt. c�.1� Peal:Hgt. <br /> Lot Coverage: �/� <br /> Grading: Staff Approval Date: �,'• 2 2 - �Z By: � Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # ' Resolution: # Resolution Date: <br /> Shoreland District: sV� <br /> Avg. Setback: Bluff Setback: 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 Date of Council Approval: <br /> REMARKS (in house): v 2oNo Co��1� oc= (�cq-�s �r� (�_d. 5 fl t--�, c.� <br /> v�r�c �/LdT�� is �o•�c�.-sL <br /> 7 <br />