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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �i0 �,q1Mk t..�nr ta►4 <br /> PID: <br /> � <br /> DESCRIP'I'ION OF WORK: �1IE�,�J 2C5 <br /> ------------------------------ <br /> ----------------------------------------------------------------:-------------------- <br /> ZONING REVIEW BY: � DATE APPROVED• G- Z3- S 7 <br /> BUII..DING REVIEW BY: DATE APPROVED: 6 - Z 3-57 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes `-' No SEWER CONNECITON.�2 Z.S.o� p�lL <br /> STATE SUR�HARGE Yes �� No WATER CONNECITON �O.3��6 <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes v< No SITEINSPECTION <br /> Number of SAC Units 1 OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> �ONING CHECK LIST Zoning District: LR-/f3 <br /> Fire Department: �'►�LpunrYJ Post O�ce: vYt�p�NiD School District: Wf��pNk-4 <br /> Lot Area: Sq.ft._G�,`�g� 3j� Acres �..570 = Width Z3Z. I '�' Depth Z"12.`�7 "= <br /> , <br /> Survey Submitted: Yes�_ No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): � Z-j��?` 5 Right Side: Z�� �= <br /> -�t Oc: <br /> ear-(Street): � l g � Left Side: 1C,�� � <br /> Adjacent Structures: N�(-� Wetland: Z 6� '� <br /> Building Height: Def. Hgt. 23 � Peak Hgt. 3Z•S� <br /> Lot Coverage: ''{ '1a <br /> Grading: Staff Approval Date: (� z y � `�� By: �- Council Approval Date: -' <br /> Septic: Staff Approval Date: I�j ((}- BY: � <br /> Zoning File: # — Resolution: �# — Resolution Date: — <br /> Shoreland Dist:ict: y e S <br /> Avg. SetbackT N,/�, Bluff Setback: /v�1�. LotCoverage: ``� �° <br /> � Existing Proposed <br /> Hardcover: 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 /> • 26 <br />