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. � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�-t�� V�0 R-rt-{ ��.�p�-t,t ,,Q,2�V-e <br /> PID: <br /> DESCRIPTION OF WORK: �C W (2�S <br /> ZOti'ni 1G REV�W BY: DATE APPROVED: G -2� -oz <br /> BUILDING REVIEW BY: DATE APPROVED: (o -Z-►-o Z- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ,,/� No � <br /> PLAl�t REVIEW Yes � No SEWER COiVNECTION <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No ✓ SITEINSPECTTON <br /> Number of SAC�Units ,�,,,.s,-�., �.�,�,,.._ ���,µ,, ; OTHE spec'fy); <br /> -------------------- ----— __-----=— - ------------------------�-- �,�; _ l..,�-_�_— <br /> ZOi�1I1�1G CHECK LIST Zoning District: c-/z' '� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 3 a'z sn Acres .6°I Width I Od•'3 Depth 3 0� �}••-e„ <br /> Survey Submitted: Yes�_ No Date of Survey: 5 •2��o t. <br /> Proposed Setbacks: N�►s-• Gi+�^�+� j�,��e G/��C <br /> Fron[(Lake): I ��i�t Z Y�f �' Right Side: t 1'� t�� � <br /> Rear (Street): `a��1 ►b� � Left Side: Z`f�•�� � S��'� <br /> Adjacent Structures: Z8� � Wetland: /t//p4 <br /> Building Height: Def. Hgt. '3� Peal:Hgt. 3$.S <br /> Lo[ Covera�e: �� �� <br /> Grading: Staff Apr roval Date: C. • 2'l-��- By: �_ Council Approval Date: — <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: �„�3 <br /> Avg. Setback: c�. t�.. Bluff Setback: N I/� L.ot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' !g� <br /> 250-500' 2 q.��'► <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />