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S <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S Uo K►qNw�t Av�. <br /> PID: <br /> DESCRIPTION OF WORK: K�r�rp� n o� <br /> -------------------------------------------------------------------------------------------------------���:---------- <br /> ZOl�1ING REVIEW BY: DATE APPROVED: �--�_g� <br /> BUILDING REVIEW BY: DATE APPROVED: -S <br /> ------------------------------------------- ---------------------------------------------------------{�=-�=- --------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes �G No SEWER CONNECTION <br /> STATE SUR`f-�ARGL Yes v� No WATERCONNECITON <br /> INVESTIGAI'ION FEE Yes No PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (Z(l.- ►g <br /> Fire Department: (,�y� (�i c.� Post Office: w A y�,s.;�. School District: p/Lc�n�a <br /> � <br /> Lot Area: Sq.ft. (o,`-tl3•S Acres . 15 Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): _ I 7 � � Right Side: (7'3 ' � <br /> �eer (Street): 1 (. � �, Left Side: $•`'I l�/ <br /> Adjacent Structures: �4-Tlv�.c.t�e� Wetland: N�� <br /> Building Height: Def. Hgt. v.(� Peak Hgt. — ` <br /> Lot Coverage: ���,ra.,••�ci <br /> Grading: Staff Approval Date: (�• lc_.- By: � Council Approval Date: — <br /> Septic: Sta�f Approval Date: — By: — <br /> Zoning File: # 2�{�3 Resolution: �f �!1� Resolution Date: Oc� Z.��`?Q5 <br /> Shoreland Dist��ict: /�JD <br /> Avg. Setback: Bluff Setback: Lot 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): <br /> • 26 <br />