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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> • ADDRFSS OR LEGAL: 1 Zo �tn�� �jG� <br /> PID: <br /> DESCRIPTION OF WORK: Oi rlBN' i�Du-- <br /> ZOVPIG REVIEW BY: DATE APPROVED: 9-/S�O3 <br /> BUII..DI�i iG REY�`�BY: DATE APPROVED; �'i- / 8► -��� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�I�IIT Yes ✓ No <br /> PLA�v REV�W Yes v' No SEWER CONNECTTON <br /> STATE SURCHARGE Yes !� No WATERCONNECTiON <br /> INVESTIGATION FEE � Yes No� PARK FEE <br /> SAC Yes No_ ,�/ SIT'EINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: !,./t-�3 <br /> Fire Department: � Post Office: School District: • � " � <br /> Lot Area: Sq.ft. Acres ' Width Depth <br /> Survey Submitted: Yes_�_ No Date of Survey: 4•11� �3 <br /> Proposed Setbacks: � � � <br /> Front(Lake): (p0 Right Side: Z'K .. <br /> Rear(Street): (�2� Left Side: �1•�7 <br /> Adjacent Structures: N�� �Vetland: /J �+4 , <br /> Building Height: Def. Hgt. o•l� Pe�;gg�, o •K <br /> Lot Coverage: �,5�� s� T� <br /> -r��•i�te(�SgA <br /> Gradino: Staff Approval Date: 9- 3 n'�"3 By:.f.�_ Council Approval Date: `"—' <br /> `,�P� <br /> Septic: Staff Approval Date: �-' By: <br /> Zoning File: # Z°lo'1 Resolution: # Resolution Date: � <br /> Shoreland District: -1 <br /> Avg. Setback: u A���v`�� Bluff Setback: /v�i'Q' Lot Covera�e: _�_Sdu �� <br /> � Existing Proposed <br /> Hardcover: 0-?5' �q.� �� _ <br /> 75-250' ��. 9 `/S� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes�_ No Date of Council Approval: �'2 S-�3 <br /> REMARKS(in house): _ .. <br /> : <br /> � . . . <br />