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� <br /> . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE pNLY <br /> ADDRESS OR LEGAL: �i �� �. �. / � _ �, <br /> PID• � , < /.r .J _, .3 , � n��� •� <br /> DESCRIPTION OF WORK: %".; 1 : ; : �;�. ,,. ._ � :: �'� .: .: �'`�: � r.: <. : c � t�-.�_ <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �^�`_ � DATE APPROVED: t- u.� y� <br /> BUILDING REVIEW BY:—�;�;-• . � -�` DATE APPROVED: � - �- `7� <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: �(�- 1� <br /> Fire Department: � ,v� �ia ic.` Post Office: '`�;;�ia�;, v��.�, School District: t,ivt:N� <br /> Lot Area: Sq.ft. /UC Ci�/�n161; Acres � Width l" Depth �" <br /> Survey Submitted: Yes v� No Date of Survey: �r� �=��.L, <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. � �� Peak Hgt. — <br /> Lot Coverage: � �'�a <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> r1�P Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> a r,'il 2,)u-� <br /> i <br /> MARKS (in ho�e):�_,``�v .vr�� ,c,� -C - (��c�<, �Y �1�:��,a�;;��f�- ;,,; � l-c�-�� <br /> ln.�C,�.� ��, <br /> 7 <br />