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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: -1 t � �N o2'n-+ /a,2 v►� (�,2�vL <br /> PID: <br /> DESCRIPTION OF WORK: -zN�9 5�l�-�, �►�p , n o�v �-- RK�►^a�e�- <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: C� DATE APPROVED: �g-'Z -S9 <br /> BUILDING REVIEW BY: DATE APPROVED: q - 2- �t 8 <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 SI'TEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: LR " �Q <br /> Fire Department: Nwv n►v� Post Office: {'Wuv�n�✓� School District: �,�t��l.u`� <br /> Lot Area: Sq.ft. 1`�,`'I`�5 Acres , `-�� Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): ��b� Right Side: l.� ��-� <br /> Rear (Street): Z"� Left Side: �% 39 .� <br /> � <br /> Adjacent Structures: S� Wetland: �J �(a <br /> Building Height: Def. Hgt. �� Peal:Hgt. 3`� <br /> Lot Coverage: C%�� <br /> Grading: Staff Approval Date: pJ ��- By: — Council Approval Date: eti/�0►- <br /> Septic: Staff Approval Date: �+ur(/a- By: ` <br /> Zoning File: # Z'3 6� Resolution: !/ Resolution Date: "7-L'7-5`(1 <br /> Shoreland District: V�3 � <br /> Avg. Setback: v+� Bluff Setback: � L,otCoverage: 7 - Z7 -`+'g <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' 2°-t,+ � �7.�1 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes_� No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />