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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z565 N Ofz_.iTl SNv� p2 <br /> PID: <br /> DESCRIPTION OF WORK: AO�o t�.t)•� / (�,�r�,�� <br /> -------------------------------------- ---- -------------------------------------------------------------------------- <br /> ZONIl\G REVIEW BY: ,1,.,.__ DATE APPROVED: �/-Z Y• T� <br /> BUILDL�iG REVIEW BY: DATE APPROVED: 1(-Zy —�t£� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v- No <br /> PLAN REVIEW Yes v- 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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONI\G CHECK LIST Zoning District: (�/1-/�'�- <br /> Fire Department: (,,L. Post Office: �L.- . School District: (�tl�2 , <br /> LotArea: Sq.ft. 6'-(,Z�`Z� Acres (.�1� Width �/S/L�'7�1.Y9,<_ Depth -- <br /> Survey Submitted: Yes D� No Date of Survey: 3 Z"�- c�7 <br /> Proposed Setbacks: <br /> Front (Lake): `�� Right Side: 6 8' '- <br /> R�nr(Street): /✓�/1 Left Side: <br /> Adjacent Structures: �v�/�- Wetland: �✓� <br /> Building Height: Def. Hgt. D . }� Peak Hgt. O� k <br /> Lot Coverage: N/,Q.._. <br /> Gradin�: Staff Approval Date: /� ��- By: -- Council Approval Date: — <br /> Septic: Staff Approval Date: �l/��d- By: -" <br /> Zoning File: # Z`{3� Resolution: # Resolution Date: I f -Z3- yg <br /> Shoreland District: �/,e5 <br /> Avg. Setback: Ug,{u��o Bluff Setback: /��rQ- L.otCoverage: � •<< <br /> Existing Proposed <br /> Hardcover: 0-75' Z 2� ��l ?o-Z( <br /> �s-2so� ��y.3� �� �Y•3� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes�_ No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />