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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3y SCd NOR77f �,�f'�R� OR <br /> PID: <br /> DESCRIPTION OF WORK: ArJD�noiu -t l:r�LoD�Z <br /> -------------------------------------------------- ------------------------------------------------------------------ <br /> ZONING REVIE� BY: DATE APPROVED: 'j-8-�� <br /> BUILDING REVIEW BY: DATE APPROVED: '�--$ •`t� <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No c�- PARK FEE <br /> SAC Yes No �� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Offce: School District: <br /> � Lot Area: Sq.ft. Acres Width Depth <br /> G <br /> Survey Submitted: Yes_� . No Date of Survey: BN F�GC.� <br /> Proposed Setbacks: 2cA2����-N <br /> r <br /> �(Lake): N/13 Right Side: Zb r <br /> B�ea� (Street): g� Left Side: t Z� �' <br /> Adjacent Structures: 14-�T7�Gft� Wetland: /t/�/.� <br /> Building Height: Def. Hgt. � ��G Peak Hgt. <br /> Lot Coverage: (7•�L <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> N,� Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: y��j <br /> Avg. Setback: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: 0-75 <br /> 75-250' ZY- $ ZY•L <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />