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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �`-�� C; ,�v�('�rH 5�+c,^-�: Y�,�- . <br /> PID: - --- -- <br /> DESCRIPTION OF WORK: /�,�i,ti ��,�;5 <br /> ZO.�tPi tG REVIE`V BY: DATE APPROVED: --r- r v -t� <br /> BUII�DTiVG REVIE`V BY: � DATE APPROVED: � -� � �3 _ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�v1IT Yes ,/ No <br /> PLAN REVIEW Yes ,/ No SEWER CONNECTIO�' <br /> STATE SURCHARGE Yes � No WATER COiVNECTTON <br /> INVESTIGATION FEE � Yes No �/ PARK FEE <br /> SAC Yes No �� SITEINSPECITON <br /> Number of SAC�Units �f�,-��=s�n���� ��c,�:.s� OTHER (specify) <br /> -- ---- ����M----------------------_______---_---------- <br /> ZO�IING C�E.CK LIST Zoning District: <br /> Fire Department: Post Office: School Districr. � <br /> Lot Area: Sq.ft. Acres � Width Depch <br /> Survey Submitted: Yes_,� No Date of Survey: � � %� z%�- <br /> Proposed Setbacks: � <br /> �ent(Lake): ��' Right Side: �l.3`� <br /> R,ear(Street): 3 S Left Side: ��: <br /> Adjaceat Structures: `f� u,v-�� i��ST:tij �Vetland: .�+✓E v� <br /> rk.,_: ;S iq=v''wt'r'1 . <br /> Building Hei�ht: Def. Hgt. 2�,-S Peal:Hgt. 3�— <br /> Lot Coverage: <br /> ' _ ��►. �9Q.. <br /> Grading: Staff Approval Date: 1- 3 0- �3 By:�°`'�� ��Council Approval Date: — <br /> Septic: Staff Approval Date: �I �,�- By: <br /> Zoning File: # �v-L7'd� Resolution: # YU�3„� Resolution Date: �•�z-� '- <br /> Shoreland District: ��� <br /> Av�. Setback: v,o./1.c�..,u.� Bluff Setback: �r i� L.otCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' 2rt8 s � <br /> 7�-250' 3 3-4 °70�0���� 2 z 3 3 �✓'^'/�' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes�i _ No Date of Council Approval: ��z� `O 3 <br /> REMARKS (in house): <br /> 7 <br />