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� , <br /> � ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: "{iCtt� t-tti.;l-1'��==� l���� <br /> PID: <br /> DESCRIPTION OF WORK: i���� <br /> -----------------------------------------r------------------------------------------------------------------------------- <br /> ZONING REVIE�I BY: c�'� � �.ti DATE APPROVED: i� -� - `�b <br /> BUILDING REVIEW BY: �,.t,,—. DATE APPROVED: ( � ti - 4 c� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes :� No <br /> PLAN REVIEW Yes ✓'� No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓' PARK FEE <br /> SAC Yes No f� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: ���-i(3 <br /> Fire Department: �c�,v t� Post Off ce: �ti�li;�.v� School District: �,v r_�i`�,�;�;r <br /> Lot Area: Sq.ft. 1(,�`t y Acres � 2'1 S Width ;�� Depth Z.3 `1' `1 <br /> Survey Submitted: Yes_� No Date of Survey: �Q? �-�- �7� <br /> Proposed Setbacks: �. <br /> � <br /> Front(Lake): b Z� � Right Side: ZL( tl` <br /> Rear (Street): I l��� t Left Side: i�•S :.�� <br /> Adjacent Structures: ��cl�c;�e� Wetland: 1�1 t� <br /> Building Height: Def. Hgt. r�_ Peak Hgt. '"" <br /> Lot Coverage: ( 3 �7"�P <br /> Grading: Staff Approval Date: �3 � �/1- By: '— Council Approval Date: �' <br /> Septic: Staff Approval Date: �ti � �!� By: `— <br /> Zoning File: # Zi 1;�,', Resolution: #.���L� Resolution Date: j i:�� :j `�►� <br /> Shoreland District: �1-C `=� <br /> Avg. Setback: ti �/� Bluff Setback: �` �� <br /> Existing Proposed <br /> Hardcover: 0-75 <br /> 75-250' .��'',,�° �":i o <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes . �- No Date of Council Approval: f b-Z3� `l(o <br /> REMARKS(in house): <br /> 10 <br />