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. � ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I 2 s c� Ly,v��ru r4 U-e <br /> PID: <br /> DESCRIP'rION OF WORK: (V L w l?�c S <br /> ZONING REVIEW BY: DATE APPROVED: 5' - Z.Dr-�� <br /> BUILDING REVIEW BY: DATE APPROVED: 5—Zn-Uc� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �" No WATER CONNEC'TION <br /> INVESTIGATION FEE Yes No v, PARK FEE <br /> SAC Yes No � � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning District (Z R-�r3 <br /> Fire Department: (�„J��IC.r Post Office: (,�+�+c,1�4K,� School District: (�C2�NU <br /> Lot Area: Sq.ft. Acres Z�' Width i(tft,�:6�laaC. Depth �p`�' <br /> Survey Submitted: Yes X No Date of Survey: (,� Z�3-c�� <br /> Proposed Setbacks: <br /> Front (Lake): l�?•� Right Side: �l9(o .Sa <br /> Rear(Street): '3t�p� � Left Side: (0�-1.�1 _ <br /> Adjacent Structures: l�I�A Wetland: N'(/� <br /> Building Height: Def. Hgt. 'Z� Peak Hgt. 3'i <br /> Lot Coverage: N I/�- <br /> Grading: Staff Approval Date: q-2 D -c'�o By: �"'�. Council Approval Date: <br /> Septic: Staff Approval Date: 5•1�-1-c�� By: G•p• <br /> Zoning File: # N/�- Resolution: # Resolution Date: <br /> Shoreland District: /V� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <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 /> 27 <br />