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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: BC�O N o2TH i4-2�rv� (�R���; <br /> PID: <br /> DESCRIPTION OF WORK: t 2� �cA c9 F�2w�N �rt�.� <br /> --------------------------------------------------- <br /> ------------------------------------------:-----'j--:--------- <br /> ZOi�TI1�tG REVIEW BY: � DATE APPROVED. G ( 57 <br /> BUII�DING REVIT�W BY: DAT'E APPROVED: �-((-q� <br /> FEES TO BE CHARGED: , Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No , <br /> PLAN REVIEW Yes v� No SEWER CONNECTION <br /> STATE SUR`HARC� Yes v-- No WATER CONNECTION <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: LR-I/3 <br /> Fire Department: {/1^,0��� Post Office: y►n�u nrrL School District: t�J�'ST�N K� <br /> Lot Area: Sq.ft. / ' Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: on► t�rc�; /( �/(,7 7 <br /> Proposed Setbacks: � <br /> Front (Lake): . c/5 � Right Side: (6�b <br /> Rear (Street): 7�� Left Side: 3 g� <br /> Adjacent Structures: Z 5� Wetland: N<<4 <br /> Building Height: Def. Hgt. � . K- Peak Hgt. p, �e. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: . <br /> (� � Avg. Setback: Bluff Setback: L.ot Coverage: <br /> �� Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250`500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />