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Ci�CK OFF LIST FOR iSSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �3'1� rVo2rH i42n✓l !�R <br /> PID: <br /> DESCRIPTION OF WORK: �pp�77 c�J �;-y�o��, <br /> ZOVPi TG REV�W BY: �.,. DATE APPROVED: Z-�-D6 <br /> BUII.DING REVIEW BY: DATE APPROVED; Z-g- 0,6 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ,/ No <br /> PLAN REVIEW � Yes —� No SEWER CONNECITON <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 /> ZOYING CH�CK LIST Zoaing District: <br /> Fire Department: Post OfFce: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: J(�2'a� <br /> Proposed Setbacks: � <br /> Front(Lake): s6•� Right Side: Q 6 <br /> Rear(Street): 3 g, l Left Side: �T fl <br /> Adjacent Structures: � � Wetland: JV <br /> Building Heiaht: Def. Hgt. D•�G Peal:Hgt. �" <br /> Lot Coverage: 6�� <br /> Grading: Staff Approvai Date: Z��-d(o By: •a � Council Approval Date: � <br /> Septic: Staff Approval Date: N (�t By: <br /> Zoning File: !#� Resolution: # � Resolution Date: � <br /> Shoreland District: �S <br /> Avg. Setbac . __. /V j�4 Bluff Setback: /�/ (�) Lot Covenge: �•k <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' /—).�v /—�� <br /> Hardcover Vaziance Required: Yes No_ �C Date of Council Approval: <br /> REMARKS (in house): _ <br /> 7 <br />