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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ���`f� �'�r�c.s��..�-�n: ;�;,� <br /> PID: <br /> DESCRIPTION OF WORK: �t���=(3� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: �; - � �'� <br /> BUILDING REVIEW BY: ,�,, DATE APPROVED: ; r -�; 1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SUR`�IARGL Yes �/ No WATERCONNECTTON <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: i2� -13 <br /> Fire Department: lJ�ti< ;��� Post Office: (�,�,., �ii�r School District: (�(l��uo <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Fmm�(Lake): ( 31 Right Side: ���5 r"� <br /> Rear (Street): Z.(o�` t Left Side: � %5 � <br /> Adjacent Structures: `l S ` Wetland: /`f�1� <br /> Building Height: Def. Hgt. c� .�� Peak Hgt. V�I�. <br /> Lot Coverage: � l� <br /> Grading: Staff Approval Date: C9 l� By: � Council Approval Date: <br /> Septic: Staff Approval Date: i 1� ��- By: <br /> Zoning File: # �z�� Resolution: # Resolution Date: 7 �� - i ) <br /> Shoreland Dist:ict: WQ� <br /> Avg. Setback: v.�� Bluff Setback: .��� Lot Coverage: O{� <br /> Existing Proposed <br /> Hardcover: 0-75' O � <br /> 75-250' Z.o•°b Z`'' `�`r <br /> 250-500' (v � N l L <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />