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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �G' �'�--C�-��-���� Q <br /> PID: <br /> DESCRIPTION OF WORK: � , � ", �� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> � <br /> ZONING REVIEW BY: c� hv�L--- DATE APPROVED: -; - � s - �'7 <br /> BUILDING REVIEW BY: `' ����..�� DATE APPROVED: r- �5 - �i�7 <br /> ------------' -------------------------------------y.------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated B <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes ✓� No SEWER CONNEC'ITON <br /> STATE SUR:HARG� Yes � No WATERCONNECTION <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: {'�('�- ��- � <br /> Fire Department: �.ti,rti�U�� lCz:_ Post Office: l� \� w ' " School District: �(��::n.;� <br /> Lot Area: Sq.ft. yU� C,'t�ti%Cx: Acres Width Depth <br /> Survey Submitted: Yes ;X No Date of Survey: Z'Z�y ct`-{ <br /> Proposed Setbacks: <br /> Front (Lake): I Za� � Right Side: l 2 2� � W <br /> Rear (Street): Z 5 L' { Left Side: g� � �' � <br /> Adjacent Structures: �-n-�i�i-d� Wetland: J�.� (,� <br /> Building Height: Def. Hgt. ��� Peak Hgt. �,k <br /> Lot Coverage: C��� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: !t Resolution: # Resolution Date: <br /> �Shoreland Dist:ict: __ <br />,,F �`�-- Avg. Setback: Bluff Setback: L.ot Coverage: <br />�1 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 />