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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEG�AL: �14 5 J I�1M�5��N fZ�i/�O <br /> � <br /> PID: j <br /> DESCRIPTION OF WORK: ' I'��pA�n o N '� <br /> ZONING REVIEW BY: DATE APPROVED: S-6 •� <br /> BUILDING REVIE'W BY: DATE APPROVED: s-6 •e` <br /> FEES TO BE CHA�tGED: Misc. Fees Calculated By: <br /> PERNIIT , Yes � No <br /> PLAN REVIEW � Yes v� No SEWER CONNEC"TION , <br /> STATE SUR�d-�ARC�� Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE I <br /> SAC Y�s No STTEINSPECTION �, <br /> Number of SAC Units OTHER (specify) <br /> ---___-----_--- � ----------------------------------------------------------------------- <br /> � ZONING CHECK LIST Zoning District: (�Q-�(3 <br /> Fire Department: (�unSlQ(h1C� Post Office: (,t�N(, (�¢1� School District: 0!'ZO/UO <br /> Lot Area: Sq.ft. "t9 Od _Acres (-�Z Width t 2,(?.1.�vk.+'L(L-Depth "' <br /> Survey Submitted: Yes�D _ No Date of Survey: �'22.-5 Q ' <br /> Proposed Setbacks: <br /> F�s�t(Lake): � ��I S '—` Right Side: 3 3.�d �' ' <br /> Rt�ar(Street): ' Zpc,� .+ Left Side: � 3Z� �' I <br /> Adjacent Structures: A-�'Y�u-�� Wetland: N/s9� <br /> Building Height: Def. Hgt. C9• k Peak Hgt. —' �I <br /> Lot Coverage: N/�' I <br /> Grading: Staff Approval Date: — By: — Council Approval Date: " <br /> Septic: Staff Approval Dlate: — By: <br /> Zoning File: fi N ��'a` Resolution: # — Resolution Date: ^ <br /> Shoreland Dist�ict: y!-G�j <br /> Avg. Setback:TT �•l< Bluff Setback: N �� Lot Coverage: — <br /> Ezisting Proposed <br /> Hazdcover: 0-75' 0 <br /> 75-250' Zo.°�3 �-'i.05 <br /> 2�0-500' 9.�z S.�Z <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No�_ Date of Council Approval: <br /> REMARKS(in house): <br /> � <br /> � 26 I <br />