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- CHECK OFF LIST FOR ISSU'��iCE'OF PERI��IITS <br /> FOR OFFICE USE ONLY <br />� ADDRESS OR LEGAL: S 2 �v P��� PID: <br /> DESCRIP"TION OF `�'ORK: oo t <br /> --------------------------------------- -------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: S3�Z 3- �i s� <br /> BUII.,DING REVIE`V BY: DATE APPROVED: 8•z3 - yS <br /> -------------- -- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STAT� SURCHARGE Yes !/ No WATER CONNEC'TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONI�i 1G CHECK LIST Zoning District: L2-�/L Shoreland District : <br /> Fire Department: Po Of ice• i c �District: <br /> � � � <br /> Lot Area: Sq.ft. Ac �Wi Depth <br /> Survey Submitted: Yes � No Date of Survey: �5 '�b'�l S <br /> Proposed Setbacks: , <br /> Front (Lake): Iv�f�- Right Side: 1 S 5 L. <br /> Rear (Street): (5� � Left Side: SS ` N w <br /> Adjacent Structures: t y� Wetland: nJ �A <br /> Building Height: Def. Hgt. eak Hgt. <br /> Avg. Setback: Bluff etbac : Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' /s`'ja Z3`l� Snri.�..�n.c� -�-�.��:" Uo�1 �¢..c.�G <br /> 500-1000' <br /> Hardcover Variance Required: Yes � No �_ Date of Council Approval: <br /> Grading: Staff Approval ate: By: Council Approval Date: <br /> i <br /> Septic: Staff Approval at : BY� <br /> Zoning File: # Resolution: # _ esolution Date: <br /> REMARKS (in use). <br /> 26 <br />