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� ' CHECK OFF LIST FOR ISSUANCE OF PERNiITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l d 5� (.pMA� (.,tN t�A <br /> PID: <br /> DESCRIPTION OF WORK: t N;tt�-�o�C. �'�w�1.e.c_. - �AC���. pu,� o� �- - t�niAovs/si3Oi•"G <br /> ZONING REVIEW BY: DATE APPROVED: Z,- Ig -9� <br /> BUII.DING REVIEW BY: DATE APPROVED: Z- � Q� -�g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �G No <br /> pLAN REVIEW Yes �' No SEWER CONNEG"TION <br /> STATE SUR:HARGE Yes � No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Y;,s No SITEINSPECT'ION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning Districr. l.2-��f3 <br /> Fire Department: �/IAburvi0 Post Ofhce: y�t,oa iv� School District: w�.r'�'9�u�h <br /> Lot Area: Sq.ft. Mo � Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: 2�/3 -�i� <br /> �}MbE 6 r�� <br /> Proposed Setbacks: �+oA�� t3vw� � . <br /> Front (Lake): ! ' t�C Right Side: I 0 3� � <br /> Reaz(Street): �� y� Left Side: � ► O S <br /> Adjacent Structures: 1477�3G�-!�"� Wetland: N !/� <br /> Building Height: Def. Hgt. C�• k Peak Hgt. � <br /> Lot Coverage: c9 rlL <br /> Grading: Staff Approval Date: N I/�- By: "" Council Approval Date: —' <br /> Septic: Staff Approval Date: /U�/}� BY� — <br /> Zoning File; # — Resolution: # — Resolution Date: — <br /> Shoreland DisL-ict: c S <br /> Avg. Setback. Bluff Setback: Lot Coverage: <br /> � Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' � G���- <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> RE1��,ARI�S Cm house): . <br /> , 26 <br />