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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS ' <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z_co t O W��qPc.�2t �(�G (..�lN C... � <br /> PID: <br /> DESCRIPTION OF WORK: �A�J�p � r�on� �('L�t�y��JGZ <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: /� -I�( - �� <br /> BUILDING REVIEW BY: DATE APPROVED: / � - iY� 5�b <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SUF`f�ARGL Yes ✓ No WATERCONNECTION <br /> INVESTIGA'I'ION FEE I'es No PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: (� - �(3 <br /> Fire Department: YVIOJNA Post Office: CX��2c�5�v2 School District: Mc��N� <br /> Lot Area: Sq.ft. y+{�OZ3 Acres l.� � Width �t2�6uv6-�- Depth -- <br /> Survey Submitted: Yes x No Date of Survey: '`j-l�{-q$ <br /> Proposed Setbacks: Chict; <br /> Front (Lake): IOiI��� Right Side: (D•6 <br /> Rear (Street): 3�.�3 Left Side: Nl� <br /> Adjacent Structures: /a�(TY-1U-t'Gn Wetland: /�J f A <br /> Building Height: Def. Hgt. Q .� Peak Hgt. -� <br /> Lot Coverage: •� `� <br /> Grading: Staff Approval Date: '�' By: � Council Approval Date: — <br /> Septic: Staff Approval Date: /v//a By: — <br /> Zoning File: # Resolution: Ji — Resolution Date: — <br /> Shoreland Dist-i�t: ��S <br /> Avg. Setback: Bluff Setback: /V(/� I.otCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' .9a . 59 <br /> 75-250' 'Lc�.o(o Z,`( �2 <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Q�_ Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />