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, � . <br /> , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMI S <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 -N C <br /> PID: <br /> DESCRIPTION OF WORK: ✓-�n n o� <br /> � _______�_______---____--- ------------------------------- -------------------------- <br /> ZONING REVIEW BY: DATE APPR VED: 5-6 •S9 <br /> BUII.DING REVIEW BY: DATE APPR VED: S-c•�,� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CO ON <br /> STATE SURCHARGE Yes �- No WATER CO CTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPEC ON <br /> Number of SAC Units OTHER (spec'fy) <br /> ZONING CHECK LIST zoning District: 2k•16 <br /> Fire Department: W Post Office: ���q� School District: p�2.p�1/p <br /> Lot Area: Sq.ft. �I�'1,''�S 5.S Acres �•�t Width ZS'a ' Depth �6�I 7 <br /> Survey Submitted: Yes p�_ No Date of Survey: 3-l '�1�j <br /> Proposed Setbacks: <br /> i <br /> Front(Lake): SD Right Side: 5.3� +' <br /> Reaz(Street): 1 l Z� � I.eft Side: ��(b� t <br /> Adjacent Structures: 1 S� � S�+�� Wetland: N (A <br /> Building Height: Def. Hgt. 2.`'�•5 Peak Hgt. Z 3 <br /> Lot Coverage: 0• k <br /> Grading: Staff Approval Date: — By: — Council Approv Date: —' <br /> Septic: Staff Approval Date: N��!- By: – <br /> Zoning File: # – Resolution: # — Resolution Date: � <br /> Shoreland District: 1N'o <br /> Avg: Setback: Bluff Setback: Lot Cov ge: <br /> Ezisting Propos <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council�F►pproval: <br /> REMARKS(in house): � <br /> 7 <br />