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1 ' 1 <br /> ' � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I b�*9 �llO,CTN ��in �� <br /> PID: <br /> DESCRIPTION OF WORK: d�.t�S <br /> ZONING REVIEV6� BY: DATE APPROVED: d �f 6-2 e <br /> BUILDING REVIEW BY: DATE APPROVED: 8 -re��� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <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: �-�A <br /> Fire Department: �� r,c Post Office: �_(�M� School District: D(�-0^�n <br /> Lot Area: Sq.ft. No G/.!�'�5C Acres � Width ' Depth '— <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: . <br /> Front(Lake): /v�l� Right Side: �7� <br /> r <br /> Reaz(Street): (UD ` + Left Side: !S <br /> Adjacent Structures: �4�cc,�-� Wetland: /u(� <br /> Building Height: Def. Hgt. /l� (� Peak Hgt. N�� <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 /> N� Shoreland District: <br /> Avg. Setback: Bluff Setback: <br /> Ezisting. 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 /> REMARKS(in house)• <br /> 10 <br />