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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 313� �.�v i r�!6 5�►�1 CA�2'� <br /> PID: <br /> DESCRIPTION OF WORK: �V'Ed..! /2E5. <br /> ZO.vI�1i G REV�W BY: DAT'E APPROVED: `�- 12 ' �� <br /> BUII..DING REVIEW BY: DATE APPROVED; S- 12. -ot <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes .� No <br /> PLA1�1 REVIEW Yes ✓ No SEWER CONNECITON <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION 3 SO'� <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes ✓ No • SITEINSPECTION <br /> Number of SAC�Units Z OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: LR• �L- I <br /> Fire Department: W�u�n�✓� Post Office: �/✓l��n�/� School District: w r 5�r�1 kA� <br /> Lot Area: Sq.ft. ! 2 �� Acres .�Zg Width •7.o Depth 6 `/ <br /> Survey Submitted: Yes_ CL No Date of Survey: 8 'i7 '�t <br /> Proposed Setbacks: <br /> Front(Lake): Zy Right Side: c� <br /> Rear(Street): � Left Side: � <br /> Adjacent Structures: (� Wetland: /� 1 A <br /> Building Height: Def. Hgt. C9. k- Peal:Hgt. C�.� <br /> Lot Coverage: N 1 va <br /> Grading: Staff Approval Date: �. JL By: � Council Approval Date: <br /> Septic: Staff Approval Date: /V(/� By: <br /> Zoning File: # N l!4 Resolution: # Resolution Date: <br /> Shoreland District: N(� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eacisting 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 />