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r � ' <br /> � �1 <br /> . y <br /> • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3-1�l 5 (.�v�r•(�s��v C�,rt-r - <br /> PID: <br /> DESCRIPTION OF WORK: nt�c,.s �2�5 <br /> _______________�__�_____—_----------------------------------------------------------------------------- <br /> ----------- <br /> ZONING REVIEW BY: � �Q�.�..,_ DATE APPROVED: s-�-dz <br /> BUII.DING REVIEW BY: �,,� DATE APPROVED: s-�-�z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER COrlNEC1�ON <br /> STATE SURCH�RGE Yes �' No WATERCONNECTION <br /> INVESTIGATION FEE Yes No Y PARK FEE <br /> SAC Yes !/' No SITEINSPECTION <br /> Number of SAC Units � OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_ !� No Date of Survey: 8-�"1-o i <br /> Proposed Setbacks: <br /> Front(Lake): 22 ' Right Side: i c� <br /> Rear(Street): b � Left Side: 0 <br /> Adjacent Structures: A'rn���� Wetland: /V (A <br /> Building Height: Def. Hgt. c�•(� Peak Hgt. — <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: ^ By: Council Approval Date: <br /> Septic: Staff Approval Date: h�A By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: — <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />