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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRFSS OR LEGAL: 25�-1 S �'Uoi2THsf+o iz.� D 2_ <br /> PID: <br /> DESCRIPTION OF WORK: /V�w �'�S <br /> ZO.�tI�Ti G REVIEW BY: DATE APPROVED: $-ZS-c�' <br /> BUII�DII`G REVI�W BY: DATEAPPROVED: �y •z•5--ot <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW � Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No ,/ SITEINSPECTION <br /> Number of SAC�Units ��n,�,,.,s e.c. r-ti�— �a�..• OTHER (specify) � <br /> ------------- -----_--____--�'�1�--_------------------------------------------------------------------- <br /> ZONNG CHECK LIST Zoning Districc: Lt2- I� <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sc.ft. 6���Z6 Acres (.'S Width �Y 1.S� (dLx.� Depth <br /> /`I�6� �T' <br /> Survey Submitted: Yes_ CL No Date of Survey: �•Z,�• o S <br /> Proposed Setbacks: <br /> F�reat(Lake): '�g.y Right Side: =o. y <br /> R�car(Street): Z6� Left Side: z5•� <br /> Adjacent Structures: N/� Wetland: Z(o� <br /> � <br /> Building Height: Def. Hgt. 3a Peal:Hgt. ��� <br /> Lot Coverage: 1�f_$,'�o <br /> Grading: Staff Approval Date: '7-IK-5' By: tc��+�°�ouncil Approval Date: �"' <br /> Septic: S[aff Approval Date: ��,�1 By: <br /> Zoning File: #OS-3/3'�- Resolution: � Resolution Da[e: 7 ZS-a� <br /> Shoreland District: �..�� <br /> Av�. Setback: p.� Bluff Setback: �Ir� LotCoverage: �Y-Z �� <br /> Existin� Proposed <br /> Hazdcover: 0-75' D <br /> 75-250' 2N.g�1� <br /> 2�0-500' L'7o <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: -1-ZS ' °y <br /> REMARKS (in house): <br /> � <br />