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� r ' <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERiI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��u� r-1��-`„'�N=�e.'L +�� <br /> PID: <br /> DESCRIPT'ION OF WORK: ��1, ;=t�. <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: � �,-,,,r�._ DATE APPROVED: �/. 3� �; 7 <br /> BUILDING REVIEW BY: `'.�;,�,�._ DATE APPROVED: Y-3:: �; 7 <br /> '_--'--------�-------------"'----_____�--__r _'----_��'__------_"'_"---'-----'___-_'_----_'_--___-'____"--------� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �" No <br /> PLAN REVIEW Yes �' No SEWER CONNECTTON <br /> STATE SUR`�iARCrE Yes � No WATER CONNECTTON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZOl�'Ti�1G CHECK LIST Zoning District: �Q�i C� <br /> Fire Department: Post O�ce: School District: <br /> t��y� <br /> � [Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: Z��Z-E> 7 <br /> Proposed Setbacks: � <br /> Front (Lake): 1�'i� � Right Side: I 130 ' ' <br /> Rear (Street): �oS�� Left Side: �13� �— <br /> Adjacent Structures: !���:-�+c::i'� Wetland: �i I A <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> �, . Zoning File: # Resolution: /t Resolution Date: <br /> ��. <br /> Shoreland Dist:ict: <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 />