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� CHECK OFF LIST FOR ISSUANCE OF PERltiiITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _��'y� ;�"-c 5-�:°� ���� f_.� ti,�..' <br /> PID: •� -��?- <�� � 11F��' � p,..l <br /> DFSCRIPTION OF WORK; � - �' ,�� ����G»���..�'. � t��e l <br /> ZONING REV�W BY: � DATE APPROVED: (o-8- �r� <br /> BUII..DING REVIEW BY: DATE APPROVED: � p -g-�,Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REV�W Yes � No SEWER CONNEC"TION <br /> STATE SUR`HAKCr� Yes � No WATER CONNECITON <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIlVG CHECK LIST Zoning District: L.�-/C. _ <br /> ��� Fire Department: Post Office: School District: <br /> t Area: Sq.fr. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: �- Z.°I- S�? <br /> Proposed Setbacks: <br /> Front (Lake): _ S�l� �" Right Side: �(�r '} <br /> Rear(Street): ,3 v � �' Left Side: 7$ ' �' <br /> Adjacent Structures: flr�t.(�� Wetland: <br /> Building Height: Def. Hgt. Q.IL Peak Hgt. <br /> Lot Coverage: ��1� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> oning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> ,,� \ �� Avg. Setback: Bluff Setback: I.otCoverage: <br /> '\l Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />