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'' /� � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 35 l� �p(L��-t � ('4-�Ci,�, �p 2. <br /> PID: <br /> DESCRIPTION OF WORK: ��GI� <br /> ----------------------------------- ------ -------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: S � Z S �01 <br /> BUILDING REVIEW BY: DATE APPROVED: S• zS—p� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER COrfNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <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 District: L,R,-1� <br /> Fire Department: /v'- C. Post Office: -- School District: <br /> Lot Area: Sq.ft. — �L Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: �0 3-°�- 7� <br /> Proposed Setbacks: <br /> F�e�t(Lake): (by Right Side: -�'-1 <br /> R�car��eeE�s� '1 Z Left Side: Zc'3 __ <br /> Adjacent Structures: �rnyqu.tz,�a Wetland: /V�/�. <br /> Building Height: Def. Hgt. N//�- Peak Hgt. <br /> Lot Coverage: (9.�.. <br /> Grading: Staff Approval Date: �t1 �/�- By: - Council Approval Date� <br /> Septic: Staff Approval Date: N I r4- BY: <br /> . Zoning File: # N �/� Resolution: # " Resolution Date: — <br /> Shoreland District: �'CS <br /> Avg. Setback: p,�c... Bluff Setback: /J �►2 LotCoverage: �•12 <br /> Existing Proposed <br /> Hardcover: 0-75' � <br /> �s-zso� �z3.y o � 2�{.y�j <br /> Zso-soo� <br /> soo-i000� <br /> Hazdcover Variance Required: Yes No_� Date of Council Approval: <br /> REMARKS(in house): <br /> 27 <br />