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C � � <br />� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZS�S K���-1 A�V�� <br /> PID: <br /> DESCRIPTION OF WORK: p <br /> ---- ------ -----------------------------------------------(�--_�---------- <br /> ZOYING REVIEW BY: DATE APPROVED: -t�l <br /> BZJII.�DING REVIEW BY: �,.,.`_ DATE APPROVED: �'g-� -c� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pERMIT Yes �� No <br /> pLAN REVIEW Yes t/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes _�,� No WATERCONNECTION <br /> I�IVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOti�TG CHECK LIST Zoning Disuict: G/L-/l3 <br /> Fire Department: �t'1v/tti0 Post Office: /�2!¢179 School District: �jVE�I'D.✓�� <br /> Lot Area: Sq.ft. Z g,57 g Acres .(o S� Width �i 2•S Depth y S 7-L Y � <br /> Survey Submitted: Yes�_ No Date of Survey: �-9� O i <br /> Proposed Setbacks: <br /> F�erx(Lake): l �. � � Right Side: �-t�' <br /> Rear(Street): z�Z Left Side: I M <br /> Adjacent Structures: �4�7'7�Gf�iu� Wetland: N�/9 <br /> Building Hei�ht: Def. Hgt. d,(� Peal:Hgt. <br /> Lo[ Covera�e: d� �� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # -- Resolution: # Resolution Date: . <br /> Shoreland District: �3 <br /> Avg. Setbac : p.I� Bluff Setback: l�.f (/� Lot�overage: d-1� <br /> Existina Proposed <br /> Hardcover: 0-75' <br /> 75-250' p�.)L <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No� Date of Council Approval: <br /> RE�ZARKS (in house): <br /> 7 <br />