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� � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFF�CE USE O�LY <br /> ADDRESS OR LEGAL: Gl r° C� �i��'-?7�1� -� c r?,-(�•... � ,�,�, <br /> PID: �- i/ 7 - •� �° l-'�1 ��r <br /> DESCRIPTION OF WORK: c � .� <br /> ------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: , �. ��c,�r� DATE APPROVED: � -t�i-�t� <br /> BUII..DING REV�W BY: �,,,- �` DATE APPROVED: � -iy -�C� <br /> --------------------------------------- -------� --------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR`HARG�� Yes v— No WATER CONNECTION <br /> INVESTIGAZ'ION-FEE Yes � No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> � Fire Department: Post Office: School District: <br /> ��� <br /> � t Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes � No Date of Survey: _�, Z�-4 7 <br /> Proposed Setbacks: <br /> Front (Lake): i 3v� "�= Right Side: 7 L� + <br /> Rear(Street): t �,�� �. Left Side: � �� � ± <br /> Adjacent Structures: /��"t�4Gt� �'_�°� Wetland: N f� <br /> BuIlding Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> � Shoreland Dist:ict: <br /> �;� - Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): L�OIz�L �0 r�C. w �-�o�sr ��1Z,�.�.� �?- <br /> • 26 <br />