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� w <br /> , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�( 35� e�r c�ciT1-�S t�o�Z� e�(Z <br /> PID: <br /> DESCRIPTION OF WORK: Q�-. A R� �:. �- n.e,E <br /> ZONING REVIEW BY: ,,.._. DATE APPROVED: g - (-o0 <br /> BUII.DING REVIEW BY: DATE APPROVED: g -t -v fl <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes c� No SEWER CONNECTION <br /> STATE SURCHARGE Yes 1/� 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: L� -� A <br /> Fire Department: L p ti� (p�u; Post Office: (�N 6 LM C.� School District: D�Z.O iv n <br /> Lot Area: Sq.ft. Nv ��.�,..�Acres — Width Depth � <br /> Survey Submitted: Yes�_ No Date of Survey: 4 (Z-2- 9 b <br /> Proposed Setbacks: <br /> �re�t(Lake): y ZU` � Right Side: ("]� '!' <br /> Rr.�(Street): ��' t Left Side: SS� + <br /> Adjacent Structures: �.5�� Wetland: ZZO` '� <br /> Building Height: Def. Hgt. O•{�- Peak Hgt. O•(C <br /> Lot Coverage: d,(c <br /> Grading: Staff Approval Date: d•� By: � Council Approval Date: -- <br /> Septic: Staff Approval Date: —� By: — <br /> Zoning File: # '� Resolution: # ` Resolution Date: � <br /> Shoreland District: <br /> Avg. Setback: �ll�14} Bluff Setback: --- I.ot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75 <br /> 75-250' � <br /> 250-500' 2Z•i0� <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No_� Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />