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- - � <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: �Q O Z C�14 u.E�►+�w "r c R RAGG <br /> PID: <br /> DESCRIPTION OF WORK: p `C.I� <br /> ---------------------------------------------------------------- ----------------------------:---------Z--=--�- <br /> ZONING REVIEW BY: �Q DATE APPROVED• N- 4 � <br /> BUILDING REVIEW BY: DATE APPROVED: �{- Z M-o/ <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 /> ZONING CHECK LIST Zoning District: [..R- �A <br /> Fire Department: �o Post Office: r School District: (�20N'� <br /> Lot Area: Sq.ft. N_0 c N Q�Q Acres �- Width Depth <br /> Survey Submitted: Yes� No Dace of Survey: Y-5 'g� <br /> Proposed Setbacks: <br /> Front(Lake): 9 Z� ± Right Side: 50' } <br /> Rear(Street): 2�0� � Left Side: S3U� �=' _ <br /> Adjacent Structures: !2' Wetland: /��/; <br /> Building Height: Def. Hgt. /v / /� Peak Hgt. ilJ//�. <br /> Lot Coverage: c9.►� <br /> Grading: Staff Approval Date: /v /f'' By: — Council Approval Date: � <br /> Septic: Staff Approval Date: /�I(/�- By: � <br /> Zoning File: # " . Resolution: # — Resolution Date: — <br /> Shoreland District: �1(7 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 27 <br />