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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> A�iDRESS OR LEGAL: __�y�1 �.,,�.�,���;�,� ,�v�, <br /> PID: <br /> DESCRIPTION OF WORK: 1�,�,TAc.�-� �� G�q,�o� <br /> — __ _ � __ —____-----------------------------------------�-�=�3_--(--- <br /> ZOr�TG REVIEW BY: DATE APPROVED• c� <br /> BUII..DI�i 1G REVIE`V BY: DATE APPROVED: q -�3-� 1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> PLA1�1 REVIEW Yes � No SEWER CONNEC'I'ION <br /> STATE SURCHARGE Yes �/� No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: C.R-I c.., <br /> Fire Department: ��„� Post O�ce: �y�y�q.� School District: w�s�e.�•fl�- <br /> Lo[Area: Sq.ft. (,�25' Acres .15' Width � Depth 13�-1 S'"� <br /> Survey Submitted: Yes X No Date of Survey: 7 - "1 - O� <br /> Proposed Setbacks: <br /> Front (Lake): g� Right Side: 5' <br /> Rear (Street): 2°� Left Side: ?�o <br /> Adjacent Structures: I 5 Wetland: /� �r9 <br /> Building Height: Def. Hgt. p.1�- �� ' Peak Hgt. 0.1� � � � <br /> Lot Coverage: � <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # p�-ZZ o� Resolution: t� �-/b�{� Resolutioa Date: q- I o- b i <br /> Shoreland District: �,.CS <br /> Avg. Setback: Np� . Bluff Setback: /�q . L.otCoverage: . <br /> � Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> soo-i000� z�.� 3z•3 <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> RENiARKS (in house): �So Lv �vi✓ SlG NU� m <br /> 7 <br />