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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 35.�I L�V 1 Tl C�STDN Av c: <br /> PID: <br /> DESCRIPTION OF WORK: (��w �ZC� , <br /> 'LO.�tI�ti G REVIEW BY: DATE APPROVED: /o•Zg •u/ <br /> BUILDI1i 1G REV�W B : DATE APPROVED: � a•z�-�/ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> PLAi�1 REVIEW Yes � No SEWER CONNECITON <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> GATION FEE Yes No PARK FEE <br /> SAC ` Yes No SITEINSPECTION <br /> �fum�of SAC Units OTHER (specify) <br /> �}/�� -----------------___---_-------------------------------------------------------------------------- <br /> �t ' ;{ ZONING CH�CK LIST Zoning District: (,/L -�L <br /> I <br /> C; Fire Department: Post Office: School District: <br /> ,���- <br /> �M�' Lo[Area: Sq.ft. (o�7Z.'S Acres . �'S Width � Depth � 3�-(, + <br /> r t Survey Submitted: Yes oC I�10 Date of Survey: 7-6-01 <br /> l� �� <br /> Proposed Setbacks: <br /> Front (Lake): 3U' Right Side: 1 b <br /> Rear (Street): (e 2� Left Side: t o <br /> Adjacent Struc[ures: /v/v8 Wetland: <br /> Building Height: Def. Hgt. Z,ti � Peal:Hgt. z�� <br /> t�- <br /> Lot Coverage: I�I•�Z <br /> Grading: Staff Approval Date: t o -ZS .a � By: � Council Approval Date: <br /> Septic: Staff Approval Date: /��- By: <br /> Zoning File: # OI-2?OZ Resolution: #� Resolution Date: /� - � •Z.Oa � <br /> Shoreland District: y,eS <br /> Avg. Setback: n///-� Bluff Setback: L,ot Coverage: ��.°1' Z <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' Z'1 .3 43 <br /> Hardcover Variance Required: Yes No_� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />