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. , <br /> • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��/�,p :.�,,�.�r, ���— <br /> PID: i7-i�7 _� 3 � 3 ��,7r <br /> DESCRIPTION OF WORK: s �„�,,/a � Ccc=�c��-�_.c-f� <br /> ------------------------------------------=- -------�----------------------------------------------------------------- <br /> ZONING REVIEPJ BY: DATE APPROVED: � - � 2-�to <br /> BUILDING REVIEW BY: „�- DATE APPROVED: � -c Z-5 c�, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes J� No <br /> PLAN REVIEW Yes �o SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION 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 Offce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_ � I�to Date of Survey: p�v �=� l�; <br /> roposed Setbacks: <br /> Front (Lake): Right Side: � <br /> �kcsTr�J�- <br /> Rear (Street): Left Side: / C��-L'— <br /> ! Adjacent Structures: Wetland: r <br /> � � <br /> ���- Building Height: Def. Hgt. �j, (� Peak Hgt. <br /> f <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> I <br /> Septic: Staff Approval Date: By: <br /> I . Resolution Date: <br /> Zonmg File: # Resolution• # <br /> � Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75 <br /> t 75-250' <br /> '� 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): S� �t�� ��T` � ' -!�S ( <br /> 10 <br />