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- CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /�2 5 /'Yj i iv iVi � �a v� <br /> PID: <br /> DESCRIPTION OF WORK: �c CKS <br /> ZOVIVG REVIEW BY: DATE APPROVED: <B -r 5-�� <br /> BUII.DING REVIEW BY: DATE APPROVED; � �s�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _�� No <br /> PLAi�1 REVIEW Yes ✓ No SEWF.R CONNECITON <br /> STATE SURCHARGE Yes _� No WATER CONNEC"ITON <br /> INVESTIGATION FEE Yes No �G PARK FEE <br /> SAC Yes No _� SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning District: L.2-I L <br /> Fire Department: ►1no uv�� PostOffice: /YWviv/� School Disuict: WP3T1�N7� <br /> Lot Area: Sq.ft. 7, 2� 1. . S Acres . �b Width tSa Depth 14 4.33 <br /> Survey Submitted: Yes_� No Date of Survey: 9" 7'�7 <br /> Proposed Setbacks: �/k� (L�4tl A�wf �•� <br /> Front(Lake): S Right Side: ' �' <br /> \ <br /> Rear(Sueet): !� 2 '7'7 Left Side: 3 1 O <br /> Adjacent Structures: A-T779 C f�.l� Wedand: N�/�- <br /> Building Height: Def. Hgt. Pea�:Hgt. <br /> Lot Coveraae: <br /> Grading: Staff Approval Date: By; Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> �� Zoning File: # Resolution: !# Resolution Date: <br /> 6�" . <br /> Shoreland Disuict: <br /> b��� 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 /> 7 <br />