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. � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �C�� `�t x+t� �-r:;�.�_�._, <br /> PID• -���-- i�S � 3- �-f 1-�;c;�' l <br /> DESCRIPTION OF WORK: <� /� �.L:-t�c�� - � -�`� i t�' . Lx'=��'� -���-��_�` Gl L�,Y,t- -- <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: �v��1�:�-t 1� . DATE APPROVED: ''1 --�-`+-C-�; <br /> BUILDING REVIEW BY: DATE APPROVED: 7- -�--� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓' PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONI1�iG CHECK LIST Zoning District: l�F' - 1� <br /> Fire Department: � " ���� ^ :'"'�,�� Post Office: ��1� "� ���� School District: (��Z:I�(; <br /> Lot Area: Sq.ft. -�- Acres ���� Width - Depth — <br /> Survey Submitted: Yes X No Date of Survey: �- �j-CU <br /> Proposed Setbacks: <br /> �- , <br /> Front (Lake): �t- Right Side: � <br /> Rear (Street): -- Left Side: - <br /> Adjacent Structures: --- Wedand: � <br /> Building Height: Def. Hgt. — Peal:Hgt. <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: —" By: <br /> � Zoning File: # ����l_ �� Resolution: # Resolution Date: ��1 �'�-+ � ��'� <br /> Shoreland District: �,,.P 5 <br /> Avg. Setbac� N ( r� Bluff Setback: "?`J ��" Lot Coverage: -� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' D.(L <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No x Date of Council Approval: '� "�.;�� -C'�-} <br /> REMARKS (in house): <br /> 7 <br />