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CI3ECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR FFICE USE ONLY _ <br /> ADDRFSS OR LEGAL: .��� �-r��n.�.� <br /> PID: <br /> DESCRIPT'ION OF WORK: -C � ' r <br /> --------- ----- <br /> ZONING REVIEW BY: � (�, r� ;. .< ,, �_ DATE APPROVED: �, ��3 -�t c� <br /> BUII..DING REVIEW BY: , ;; ; ;,� ; �.�-- DATE APPROVED: �, z-�8 -`�G <br /> ---------------- - . <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERMIT Yes ,/�� No <br /> pL�J ��W Yes ,/� No SEWER CONNEC'TION <br /> STATE SURCHARGE Yes ✓� No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------- <br /> ZONING CHECK LIST Zoning District: �./�--)� Shoreland District : �� <br /> Fire Department: C,t.._ Post Office: C�- School District: p/c.c>nsv <br /> Lot Area: Sq.ft. i� � Acres Width Depth <br /> Survey Submitted: Yes iC No Date of Survey: �r� �� � � '�3-`�`( <br /> Proposed Setbacks: , <br /> Front (Lake): -�lt�U � �" Right Side: `f� <br /> Rear (Street): � Left Side: 5�� � <br /> Adjacent Structures: 7c>` � Wetland: /V (/g' <br /> � <br /> Building Height: Def. Hgt. �C9 •�� Peak Hgt. �tij <br /> j Avg. Setback: Bluff Setback: Lot Coverage: <br /> 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 /> � <br /> �� Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning FIle: # Resolution: # Resolution Date: <br /> � REMARKS (in house): <br /> a <br /> ._--- <br /> 26 <br />