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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �2gS (�r4 Fv4�/G^cTL=, ��1�Jt,(�. C��r�' <br /> PID: <br /> DESCRIPTION OF WORK: �Q�c..�c <br /> ZONING REVIEW BY: _ DATE APPROVED: l o,3• o 0 <br /> BUILDING REVIEW BY: DATE APPROVED: l� • �3 -c,�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes v� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �— No WATERCONNECTION <br /> INVESTIGATION FEE Yes No . PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: C,2-�/j <br /> Fire Department: ��v�� Post Office: ��/��,�rn� School District: w�s�-oN l�/E <br /> Lot Area: Sq.ft. 13,So� Acres ,.}o Width ��c� Depth I 3S �►D <br /> Survey Submitted: Yes eC No Date of Survey: { !-10- pZ <br /> Proposed Setbacks: <br /> Front(Lake): 1( Right Side: �b � <br /> Rear(Street): S n Left Side: �(b` <br /> Adjacent Structures: A�'sy4�c-.E(�e.c9 Wetland: �(Z ` <br /> Building Height: Def. Hgt. N(,h' Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> �j`L <br /> Shoreland District: <br /> � Avg. Setback: Bluff Setback: Lot Coverage: <br /> p � 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): <br /> 7 <br />