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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ,' � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z25 I-t ot^�-r�rvr,�e, 2 � <br /> PID: <br /> DESCRIPTION OF WORK: __ A,p d � T� c�vJ - <br /> ZONING REVIEW BY: DATE APPROVED: '7 2.5'-0� <br /> BUII..DING REVIEW BY: DATE APPROVED: '1-Zs"-o0 <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: R,2• 1 � <br /> Fire Department: f Post Office: �q_� School District: N'v C���_ <br /> Lot Area: Sq.ft. �� r�Acres Width Depth --- <br /> Survey Submitted: Yes 0� No Date of Survey: 0 N <br /> Proposed Setbacks: <br /> Front(Lake): (p5 � '� Right Side: 1 S���^ <br /> Rear(Street): ( 3�� � Left Side: I (O� � <br /> Adjacent Structures: IQ�^S�,q�G l�-�.� Wetland: N�(/} <br /> Building Height: Def. Hgt. C>.`c Peak Hgt. — <br /> Lot Coverage: N �� <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: Bluff Setback: Lot Coverage: <br /> Eusting Proposed <br /> Hazdcover: 0-75 <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />