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' ' CHECK OFF LIST FOR ISSUAi�10E OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 2`�s ,�nA��r����e <br /> PID: <br /> DESCRIPTION OF WORK: N Ew i�� • <br /> ZO.�i G RE'VIE`V BY: DATE APPROVED: /�- zq - a S <br /> BITLI.DI�'G REVIEW BY: DATE APPROVED: �, • zg - o,s- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW � Yes v' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �/ STTEINSPECTTON <br /> Number of SAC�Units Pp.o „,,, #Zt,, �2_9�o OTHER (specify) <br /> ZOYIVG CH�CK LIST Zoning District: LR-if3 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. '��,2�` Acres t�to Width j s@ s�� Depth <br /> Survey Submitted: Yes_ C� No Date of Survey: i�-�- �y <br /> Proposed Setbacks: <br /> Front(Lake): i t�C• �-� Right Side: Z�•`� <br /> Rear(Sueet): 1�o o' -� Left Side: �13.3 <br /> Adjacent Structures: n/ � A Wetland: <br /> Building Height: Def. Hgt. 2Z•5 Peal:Hgt. 33•5 <br /> Lo[Coverage: � ,� <br /> Grading: Staff Approval Date: By: Council Approval Da[e: <br /> Septic: Staff Approval Date: /� �� By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: �g � <br /> Av�. Setback O.��- Bluff Setback: rJ�,A- I.ot Coverage: 6.g <br /> Ezisting Proposed <br /> Hardcover: 0-75' O O <br /> 7�-250' Q 2Y.1 <br /> 2�0-500' �_ ��•Y <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�c_ Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />