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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 b� �p�v���y`s� �c w <br /> PID: <br /> DESCRIPTION OF WORK: �E� 12,c S <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: c~ <br /> BUILDING REVIEW BY: DATE APPROVED: ���,f�_ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION � <br /> STATE SUF`HARGL Yes �/ No WATERCONNECTION <br /> INVESTIGAI'ION FEE I'es No � PARK FEE <br /> SAC Y,:s No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: I�R-� 16 <br /> Fire Department: n� 1(.� Post Office: �NC� �(Ge School District: Q�,fp�lp <br /> Lot Area: Sq.ft. ���24 7-�S' Acres Z Width �-S'Z-0 3 Depth 3`{�6•i $ <br /> Survey Submitted: Yes D� No Date of Survey: �-1-I�-�i 5 <br /> Proposed Setbacks: <br /> Front (l.ake): _ 1 S�.� Right Side: 3 C� � <br /> Rear (Street): 1 ZI � "�' Left Side: � Z � � + <br /> Adjacent Structures: �J �/a- Wetland: � <br /> Building Height: Def. Hgt. "�`i � Peak Hgt. `�'� <br /> Lot Coverage: /J ( (� <br /> Grading: Staff Approval Date: S - ( i-cj�t By: �c� - Council Approval Date: — <br /> ~ ���Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # -- Resolution Date: — <br /> Shoreland Dist-ict: /V 0 _ <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> �'�0-�(�C, <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />