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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> A.DDRESSORLEGAL: 3513 ��RrC /�vc_. � <br /> PID: <br /> DESCRIPTION OF WORK: �Eu� , <br /> ZO.�i 1G $E`VIEW BY: ' DATE APPROVED: � Z.- ►2�u Z <br /> BUII.,DING REVIEW BY: DATE APPROVED; � Z,-i Z.-c�Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes _� No <br /> PLAN REVIEW Yes �/ No SEWF.R CONNEG"ITON <br /> STATE SURCHARGE Yes v No WATERCONIVECITON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: 11-Z S��Z <br /> Proposed Setbacks: � <br /> Front(Lake): `(S� Right Side: 26.S <br /> Rear(Street): 1 S I.eft Side: 1�� <br /> Adjacent Structures: V•k- Wetland: — <br /> Building Height: Def. Hgt. — Peal:Hgt. — <br /> Lot Coverage: '� l�v � T'� <br /> Grading: Staff Approval Date: �-- By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /tJv <br /> Avg. Setback: Bluff Setback: Lot Coverage: � <br /> Existing Proposed <br /> Hudcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�S(in house): <br /> 7 <br />