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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �:�=�: � � =:.�; �: � f���-<-�- <br /> PID: �1 5= i/�- � 3 �% ��r"�� � <br /> DESCRIPTION OF WORK: l���_�t /c:.=,� <��-;���_,._. <br /> ------------------------------------�----------------------------------------------------------�--�-------------�- <br /> ZONING REVIEW BY: DATE APPROVED• f ��"3 S� <br /> . BUILDING REVIEW BY: DATE APPROVED: �� • 3 -5 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes c/ No SEWER CONNECTION <br /> STATE SUR:i-�ARG� Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: Q(L-S,� <br /> Fire Department: �,4( � Post Office: t O IGtG School District: Q jUj N a <br /> Lot Area: Sq.ft. (3`1,�(9c� fi Acres 3,l��'1 '% Width Z 3`�� 1°►�C. Depth S7y• � <br /> Survey Submitted: Yes � No Date of Survey: �u • 2'2..-9� <br /> Proposed Setba�ks: <br /> Front (Lake): _ 1��•'S Right Side: �I.•'7 <br /> Rear (Street): `'��� � Left Side: S L �i'( <br /> Adjacent Structures: /J�A- Wetland: /V //a <br /> Building Height: Def. Hgt. 2'1 Peak Hgt. 3'1 <br /> Lot Coverage: qJ //� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: /V- S� By: s•'^J <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: �to <br /> Avg. Setback: Bluff Setback: L.ot 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 />