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� � <br /> A�, ,. • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��{�S G2��'�`v P72c�� �v�-✓J <br /> PID: <br /> DESCRIPTION OF WORK: � ,�, `o u /4'�Le-,•� v ti�-+-I <br /> --------------------------------------- ------- --------------------------------------------------�-------�_---------- <br /> ZONING REVIEW BY: � DATE APPROVED• 3 c�ti <br /> BUILDING REVIEW BY: DATE APPROVED: 3 • 3 -�n <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes (/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <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: L2�/� <br /> Fire Department: ��(� Post Office: � School District: V t't,msw <br /> Lot Area: Sq.ft. '� I�Z�O Acres �.6 3 S Width �lLtl�v�o,,,2 Depth — <br /> Survey Submitted: Yes D� No Date of Survey: /�s-�3M <br /> Proposed Setbacks: <br /> F-rar�e(Lake): t��� � Right Side: �,Sro� } <br /> Reer-fStreet): �$ Left Side: "�S � � <br /> Adjacent Structures: �47'� Wetland: /l�l(� <br /> Building Height: Def. Hgt. ��k Peal:Hgt. O•(�- <br /> Lot Coverage: � O.k <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: —" By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: � <br /> Avg. Setback: v.�� 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 o� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />