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, • . <br /> CHECi� OFF i,IST FOR ISSUANCE OF �ERN�ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: Z1,5 1�c-�cwoo� W A�► _ ___ <br /> PID: <br /> DESCRIPTION OF WORK: N�w i?�S� <br /> ZO�.�tI�1i G REV�W BY: _ DATE APPROVED: '3—�r-a r� <br /> BUII�DING RE'VIE�Y BY: DATE APPROVED: 3 •S-v b <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW � Yes ,/� No SEWE.R CO�TNECTTON <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> INVESTIGATION FEE Yes ��.c No J� PARK FEE <br /> SAC Yes ✓ No _� STTEINSPECTTON <br /> Number of SAC�Units .�— OTHER (specify) <br /> ZONING CH�CK LIST Zoning Districc: <br /> Fire Department: Post O�ce: School District: � <br /> Lot Area: Sq.ft.�1,9 i 2 Acres . 73 Width Depth <br /> Survey Submitted: Yes c� No Date of Survey: "�- �i -o� <br /> Proposed Setbacks: � <br /> Froat(Lake): 3$.9 Right Side: �b� 3 <br /> Rear(Street): (o'-(� Left Side: ��� f <br /> Adjacent Structures: ti(�,q Wetland: �i6� <br /> Buildin; Height: Def. Hgt. _ �7• S Peal:Hgt. Z S <br /> Lot Coveraoe: I 1.Z <br /> Grading: Staff Approval Date: By: Council Approval Date: � <br /> Septic: Staff Approval Date: N I V� By: <br /> Zoning File: !# — Resolution: # -- Resolution Date: <br /> Shoreland District: �2S <br /> Avg. Setback: �t��} Bluff Setback: M1 ll4 I.ot Coverage: I 1• 2 <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' � L�•�� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date oE Council Approval: <br /> REI�iARKS (in house): <br /> � <br />