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. • <br /> � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: __�1'3� l..,.�v�N �sTu�! ��2"r <br /> PID: <br /> DESCRIPTION OF WORK: ��� ��4 <br /> ZOr11i TG REVIEW BY: DATE APPROVED: S_ �2-�s t <br /> BUII.DI�i TG REVIEW BY: DATE APPROVED; y - �2--� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> PLAi�T REVIEW Yes v' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATER CONNECTION ��o' <br /> INVESTIGATION FEE Yes No - PARK FEE � <br /> SAC Yes t/ No SITEINSPECTION <br /> Number of SAC�Units � OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: L��� �- � <br /> Fire Department: /'Ylr••..� Post Office: �ywu.�.�/� School District: w�g y-o�iPi4 <br /> Lot Area: Sq.ft. I"i'Lc� Acres •o`� Width 30 Depth b� <br /> Survey Submitted: Yes pC No Date of Survey: 8'n`v 1 <br /> Proposed Setbacks: <br /> Front(Lake): Z Z Right Side: C� <br /> Rear(Sueet): fo Left Side: 1(7 <br /> Adjacent Structures: p wetland: �JIiQ. <br /> Building Height: Def. Hgt. O•(L Peal:Hgt. d�G.. <br /> Lot Coverage: N j/4- <br /> Grading: Staff Approval Date: (9./� By: o�•v� Council Approval Date: <br /> Septic: Staff Approval Date: /V !/� By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland Disuict: /V c) <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />