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, ► <br /> � � � � C�iECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 312 c� nt o�2-r� s t-wct�:.. �D�2�v e. <br /> PID: <br /> DESCRIPTION OF WORK: d`,�ac���.� G����cs <br /> ZO.�tI�i tG REV�W BY: DAT'E APPROVED: S���o t <br /> BUII.DING REVIEW BY: DATE APPR4VED; q -`•�t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓' No <br /> PLAi�T REVIEW � Yes ✓ No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � � SITEINSPECTTON <br /> Number of SAC-Units OTHER (specify) <br /> o �L ZONING CH�CK LIST Zoning District: <br /> ��� . <br /> � ire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft.�3�C�2�7 Acres �,� Width Depth <br /> Survey Submitted: Yes� No Date of Survey: pN F'1 urc. <br /> Proposed Setbacks: <br /> F�eai(Lake): 36a� '� Right Side: l 5� ; <br /> � (Sueet): �ti0' t Left Side: (1 lg� � <br /> Adjacent Structures: �Z�` -�- Wetland: NI�4 <br /> Building Height: Def. Hgt. '2 Z Peal:Hgt. Z(o <br /> Lot Coverage: c9•K <br /> Grading: Staff Approval Date: `1 �—� -v� By: Council Approval Date: <br /> Septic: Staff Approval Date: /v 1A By: <br /> Zoning File: # � Resolution: # — Resolution Date: <br /> Shoreland District: y�P5 <br /> Avg. Setback: O�1� Bluff Setback: � �� Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' N�� <br /> 75-250' �N�G <br /> 250-500' 2 O`?� <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No D� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />