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� 1 � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3535 zv Y QL�c.t.. <br /> PID: <br /> DESCRIPTION OF WORK: �c9 sT'o 2.y ,4,0 0 ►a��� <br /> ZO�tI�TG REVIEW BY: DATE APPROVED: b - z�7� o s <br /> BUII�DING REV�W BY: „r.... DATE APPROVED: 6•2�. o S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes J� No <br /> PLAN REVIEW � Yes _,� No S��VER CONNECITON <br /> STATE SURCHARGE Yes r/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓' PARK FEE <br /> SAC Yes No �/ STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning District: <br /> Fire Degartment: Post OfFice: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: N•2S-oS <br /> Proposed Setbacks: <br /> F�est(Lake): J y0 � � Right Side: y 1. Z <br /> �t� (Sueet): 33.b Left Side: Z2•'I <br /> Ad,yacent Structures: 3y Wetland: N/r9 <br /> Building Height: Def. Hgt. 2�i• 5 Peak Hgt. 3.6 <br /> � s,-a� c�����g�,oa r�p -rc�c�R �o3c�3y �r <br /> Lot Coverage: ,�p c� I Z ZKd Fl,od� � $o� = 57.39°7fl <br /> <�0 7� o.k, <br /> Grading: Staff Approval Date: d/� crf ��4�51� By: — Council Approval Date: -- <br /> Septic: Staff Approval Date: �/ /,/-1 By: <br /> Zoning File: # -- Resolution: �# Resolution Date: <br /> Shoreland District: �..�ts <br /> Avg. Setbacl�: U•k. Bluff Setback: N I A Lot Coverage: -- <br /> Ezisting Proposed <br /> Hardcover: 0-75' �•6� <br /> 75-250' 2 3.2Y <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REviARKS (in house): <br /> � <br />