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. ` ` CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: �ilSS }4tbHwooq (L�� <br /> PID: <br /> DESCRIPTION OF WORK: a�0 Q t 11 p,•� -1-b u se �- Co A-1��Q <br /> Z0�1G RE`VIEW BY: DATE APPROVED: �•Z 4• d z <br /> BUII.DING REV�W BY: DATE APPROVED; i •z 4 •0 2 <br /> . . . . ��� �'..i�«�M�� � . <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLAi�i REVIEW Yes ,/' No SEOVF.R CONNE�'TION <br /> STATE SURCHARGE Yes� No WATER CONNECITON <br /> INVESTIGATION FEE Yes No ✓� PARK FEE <br /> SAC Yes Ivo �' STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: G rt-I!'S . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. 3°►•�5o Acres •� Width »ze�u�h� Depth <br /> Survey Submitted: Yes �-- No Date of Survey: iZ����1 <br /> �52 <br /> Proposed Setbacks: ��o. �',Ra o� No v so b�, <br /> F�e�t(Lake): i Z� /S'b Right Side: �D' <br /> RE�r(Sueet): S 0 Left Side: ��� �Z � <br /> Adjacent Structures: � 6 ` Wetland: /✓/A <br /> Building Height: Def. Hgt. v-Jc- Peal:Hgt. o•�- <br /> Lot Coverage: h•S <br /> Grading: Staff Approval Date: � - 2 °t - � Z By: � Council Approval Date: <br /> Septic: Staff Approval Date: /�f,�. By: <br /> Zoning File: # �7`'I2 Resolution: # '��5` Resolution Date: l--Z�' d Z <br /> Shoreland District: ��es <br /> Avg. Setback: c9•�c Bluff Setback: N/A- Lot Coverage: 11•S <br /> Existing Proposed <br /> Hazdcover: 0-75' �•'i 7-Y <br /> 75-250' 2o.g 23•1. <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No C Date of Council Approval: <br /> REMA.RKS(in house): <br /> 7 <br />