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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 12,1 C� �'V 0 RTl-4 f�2� '�2 <br /> PID: <br /> DESCRIPTION OF WORK: Po2c(� <br /> __ �� --- --_�__----------------------------------------- � <br /> Z0�1ING REVIEW BY: � � DATE APPROVED: 9a�1-/S-9 <br /> BUILDING REVIEW BY: DATE APPROVED; �/-►S�S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes 1�- No SEWER CONNECTION <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 Disuict: L2 - r fs <br /> Fire Department: ry�o�w v� Post Office: ��nr D School District: t�J esTU r•�1� <br /> Lot Area: Sq.ft. 1 l�,O'�0 Acres .�°1 Width 1 n0 1�eP� 1�7 n•H <br /> Survey Submitted: Yes � No Date of Survey: l Z-S-�i co <br /> Proposed Setbacks: <br /> Front(Lake): 7 N� 'F Right Side: SO� + <br /> Reaz(Street): �i I� + Left Side: Z9 � + <br /> Adjacent Structures: l�4"rTti°�c-1+cm Wetland: N(/� <br /> Building Height: Def. Hgt. O.k-- Peak Hgt. C�,LL <br /> Lot Coverage: 1 Q°�o <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — - Resolution: # Resolution Date: <br /> Shoreland District: � <br /> Avg. Setback: Bluff Setback: I.ot Coverage: t 0"70 <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�S (in house): <br /> 7 <br />