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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: ►�� � (�c�,�w4 (.i,v,� A A v � <br /> PID: <br /> DESCRIPT'ION OF WORK: �`Z(� <br /> n -----------------------------------------�_---- <br /> ZO.�TI�i 1G REVIEW BY: cT DAT'E APPROVED• t o� <br /> BUII..DING REVIEW BY: DATE APPROVED; {� -� —o t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> PLAi�i REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning District: GR-� (3 <br /> Fire Department: ry��w b Post Office: y�,rt.o�,�..,o School District: W p s ro�Ic.� <br /> Lot Area: Sq.ft� • �s---i Acres , 1 Q�90( Width 1 YZ•iS Depth /YD <br /> T <br /> Survey Submitted: Yes�_ No Date of Survey: / -/7-g b (o n� +�c:�) <br /> Proposed Setbacks: <br /> Front(Lake): .�Z� ± Right Side: �l 5��' N <br /> Rear(Sueet): 53� ± Left Side: Z� + <br /> Adjacent Structures: _�-�-�.u-� Wetland: N �4 <br /> Building Height: Def. Hgt. 6��C' Peal:Hgt. 6�� <br /> Lot Coverage: ���� '� <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # — Resolution: !i Resolution Date: <br /> Shoreland District: �./�� o <br /> Avg. Setback: �t!(/i- Bluff Setback: /1l//f Lot Coverage: /0"� <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' Z1.`-t V �-Z�� <br /> 25Q 500' <br /> 500-1000' <br /> Hudcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS (in house): <br /> f <br /> 7 <br />