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' CHECK OFF LIST FOR ISSUANCE OF PER'�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��{5� ��p 2-Z-}-( St�v�z� 1�2 t u L. <br /> PID: <br /> DESCRIPTION OF WORK: 0 2CJ�-� <br /> ----------------------------------------------- ------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � DATE APPROVED: ( �- S- S�3 <br /> BUILDING REVIEW BY: DATE APPROVED: ! ( -5-�j� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No � <br /> PLAN REVIEW Yes _ ,/' No SEWER CONNECT`ION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes �� No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> �----=�------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Disuict: L.,le-1 L <br /> Fire Department: � = Post Office: W�q.�,,� School District: pRpn�o <br /> Lot Area: Sq.ft. -1�9'i O Acres .t$ Width .�� Depth //L(1,�,s�v�a-.�( <br /> Survey Submitted: Yes� No Date of Survey: I !- ►2.-�6 <br /> Proposed Setbacks: � � <br /> Front (Lake): G S � 1�f0 Right Side: �,'Z <br /> Rear (Street): �(90� �= Left Side: I�� �' <br /> Adjacent Structures: {�-r'ty�.Gl-4ti✓� Wetland: N �� <br /> Building Height: Def. Hgt. (�.(� Peak Hgt. U` -<< <br /> Lot Coverage: Z.�.ZS <br /> Grading: Staff Approval Date: /��� By: — Council Approval Date: -- <br /> Septic: Staff Approval Date: N �� By: — <br /> Zoning File: # 2 y Z Resolution: # Resolution Date: ��"Z6-�i$ <br /> Shoreland District: <br /> Avg. Setba : y/�yL�� Bluff Setback: /�/�� L.ot Coveraae: �i�- Z� <br /> Existing Proposed � <br /> Hardcover: 0-75' <br /> 75-250' 3 b•t b 3?.y3 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes C No ' Date of Council Approval: �o uo-s� <br /> REMARKS (in house): ��p R.�� 5�2.�'�� W�� PPf1�W�,< < <br /> 7 <br />