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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , ` � FOR OFFICE USE ONLY <br /> ' ADDRESS OR LEGAL: l 1(,c� �V u R.t?-�t A tt� �R <br /> PID: ' <br /> DESCRIPTION OF WORK �,���;��� <br /> ZONING REVIEW BY: DATE APPROVED: � -�,.n� <br /> BUILDINGREVIEWBY.• DATEAPPROVED: —�-26 -v� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �' No <br /> PLANREVIEW Yes_� No SEWER COIVNECTION <br /> STATE SURCHARGE Yes�� No WATER CONNECT70N <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No ' SITE INSPECTION <br /> 1Vumber of SAC Units OTHER (specify) <br /> ZO.VING CHECK LIST Zoning District: C.R-I (3 <br /> Fire Department.• ��� Post Office: yy�d�„J� School District: ��T-p�� <br /> Lot Area: Sq;ft. 'l S,3 d� Acres /•�3 ��dth �l I•Z t Depth �{0 0 <br /> Survey Submitted: Yes pL No Date of Survey: <br /> Proposed Setbacks: <br /> � <br /> Front (Lake): 60 Right Side: 23."� <br /> Rear (Street): 332 Left Side: �$� <br /> Adjacent Structures: �T'('�G N� Wetland: /J �/� <br /> Building Height: Def. Hgt. ��k. Peak Hgt. �+j��� <br /> Lot Coverage: (�,�C. <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: /V'� <br /> Avg.Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> � <br /> 32 <br />