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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z ig z� C.,rr�� D✓Lc�r-,�►� (,✓�g-�, <br /> PID: <br /> DESCRIPTION OF WORK: �c t,J 2c_ S <br /> ZO�i TG REVIEW BY: DATE APPROVED: �-/ �3 �-�� <br /> BUILDING REV�W BY: DATE APPROVED: �f-��-v�i <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 /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes _� No SITEINSPECTION <br /> Number of SAC Units _� OTHER (specify) <br /> ZOVING CH�CK LIST Zoning District: C i?-l/j <br /> Fire Department: L��vG If+u,�,j Post Office: (�„v� L�ic c _ School District: C��2c�No <br /> Lot Area: Sq.ft. ����C�>� Acres 3, I ( Width 1Rlt.l=C�V�2 Depth <br /> Survey Submitted: Yes p� No Date of Survey: `"1' � - �v <br /> Proposed Setbacks: <br /> Front(Lake): / Z 7' Right Side: 3� � z <br /> Rear (Street): Z 2� Left Side: �G � <br /> Adjacent Structures: -- Wetland: �J /i1- <br /> Building Height: Def. Hgt. 3v Peal:Hgt. ��f <br /> Lot Coveraae: N /� <br /> Grading: Staff Approval Date: '-I -13 �J By: � Council Approval Date: — <br /> Septic: Staff Approval Date: N � f'a By: — <br /> Zoning File: # -- Resolution: # Resolution Date: <br /> Shoreland District: u�s <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' �% <br /> 75-250' '='� �� <br /> 250-500' L�.�5 <br /> 500-1000' 2�.435 <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />