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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , , <br /> FOR OF ICE USE NLY <br /> ADDRESS OR LEGAL: %C'_3� �rzr�� � ��_�C_��., l,�-i-�� <br /> PID: G��'- /� 7 - d 3 � 3 ��.� 5� <br /> DESCRIPTION OF WORK: �,� �_x- <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: ��Q�,,.,.Q,,._ DATE APPROVED: s- � -9 7 <br /> BUILDING REVIEW BY: ,,._ DATE APPROVED: 5--�-�7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR:I-�ARG� Yes ,� No WATERCONNECTION <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPLCTION <br /> Number of SAC Units OTHER (specify) • <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Dis±rict: L 2-16 <br /> Fire Department: �a v.�✓J Post Office: �y(y��h School District: (,��s�-�aN� <br /> Lot Area: Sq.ft. No Grf,sude Acres Width Depth <br /> Survey Submitted: Yes c No Date of Survey: S <br /> Proposed Setbacks: <br /> �tet�t (Lake): Ztn � Right Side: 3S� � <br /> � � -1-- <br /> Rear (Street): i o 3 �' Left Side: 3Z <br /> Adjacent Structures: �}r—ry�c:�,-t-�.'� Wetland: /U(� <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: y�pS <br /> , Avg. Setback: t9. K Bluff Setback: N/A- Lot Coverage: �/� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' /• .'��d i�•`f b <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No OC Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />