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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�(�c� Kt.11...� (�Acz l�w�y <br /> PID: <br /> DESCRIPTION OF WORK: �6l u�Pm En�T F3�,p ca <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: Z - �5 -�{$ <br /> BUILDING REVIEW BY: o DATE APPROVED: 7• �q • �Q <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No �/ SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (ZR-l3 <br /> �t�,Q Fire Department: Post Office: School District: <br /> G�'pr+J <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No�` Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): �Li�� + Right Side: Z�U� �' <br /> Rear (Street): �5 � ± Left Side: �?5 � '� <br /> Adjacent Structures: 'Z�` � Wetland: D.l< <br /> Building Height: Def. Hgt. �• �� Peal:Hgt. -- <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: ,St�.ff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: � <br /> (`�'� Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): Na ��5 /�e'T'U/l�✓ � n-� ��� T <br /> t" ��'� K'�.��'�a N� FGsL 5 7`e �e C L-� ��'l I C � <br /> n..�U � ��v � L y � i,��< [�E v � w �M b 4 n,�s P F c 1 «r�� �-E��S <br /> Fh��� 1 � �''��,i �����LG��' �l'�I� tl���th�S. <br /> �3'/ �J., , • i <br /> 7 <br />