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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ���� �)(�(Z t�-4 iQc2(N� �(ZI�J� <br /> PID: <br /> DESCRIPTION OF WORK: i Ty�n/ /�7?�il�L <br /> ZONING REVIEW BY: DATE APPROVED: '� -C9� <br /> BUII.DING REVIEW BY: _ DATE APPROVED: Y •?�f -d-� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes c� No SEWER CONNECTION <br /> STATE SURCHARGE Yes �No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: LQ • !� <br /> Fire Department: �Vl�u n/�� Post Office: W��v rv� School District: w-c S%��� <br /> Lot Area: Sq.ft.�T�(�b, L�Acres . �'L. Width J S� Depth Z�S•3� <br /> Survey Submitted: Yes pC No Date of Survey: V- L 5-� <br /> Proposed Setbacks: <br /> Front(Lake): 12l� � Right Side: 3S� °= <br /> Rear(Street): 39� '� Left Side: 86� t <br /> Adjacent Structures: /l���L�ya�� Wetland: N (�A <br /> Building Height: Def. Hgt. 0.1� Peak Hgt. O.Me- <br /> Lot Coverage: c�.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: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> �,�� Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />