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� ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (�SO �V o�2"R� 1�2+�^ �U R• <br /> PID: <br /> DESCRIPTION OF WORK: �c�- �1���-wu-�T <br /> ZOVING REVIEW BY: --------- DATE APPROVED: y-�9 -9� <br /> BLTILDING REVIEW BY: DATE APPROVED; Y-19 -!� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> pLAN REVIEW Yes ✓ No SEWF1t CONNECTION. <br /> STATE SURCHARGE Yes ✓ No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: !�/Z-/� <br /> Fire Department: rvwv^��D Post Office: vwo u�v r� School District: l��"a"roN''�-�'' <br /> Lot Area: Sq.ft. 6 d.��1 O Acres t•3 rd Width I r2.R.�6 u�� Depth <br /> Survey Submitted: Yes p� No Date of Survey: `�'�`�'�� <br /> Proposed Setbacks: , <br /> F�at(Lake): b3� Right Side: Ic�u <br /> Rear(Street): 3o Left Side: Sp0� � <br /> Adjacent Structures: �4zrrac,t�C� Wetland: A1(l� <br /> Building Height: Def. Hgt. �J 1/F Peak Hgt. r <br /> Lot Coverage: �{•7 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Zy Z.9 Resolution: # y 1 S� Resolution Date: I o •�-e``�8 <br /> Shoreland District: .r es <br /> Avg. Setback: D�k- Bluff Setback: 0,�. LotCoverage: Y•7 <br /> Existing Proposed <br /> Hardcover: 0-75' 2•1 �•� <br /> 75-250' ,5�•5 � — <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes C No Date of Council Approval: /b •z.b•�ti5 <br /> REMARKS(in house): <br /> 7 <br />