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r . , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3Qg°e$ K�o s�o/� /J.C, <br /> PID: <br /> DESCRIPTION OF WORK: �,q,�t,��a <br /> -- � _____------------------------------------------------------------ <br /> ZO.�tI�Ti G REVIEW BY: DATE APPROVED: 6•2 3-aS <br /> BUII.DING REV�`V BY: DATE APPROVED: b•�.3-o s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW � Yes �/' No SEWF1t CO�TNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes No !/' STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI�i TG CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 3`�.80o Acres . '�7 Width 7�� Depth f 7 `( <br /> Survey Submitted: Yes �G No Date of Survey: ocT 30 . i�g6 <br /> Proposed Setbacks: <br /> Front(Lake): ��{�' 's Right Side: t Zo' '� <br /> . _ <br /> Reaz (Sueet): N 3� '� Left Side: 3'� <br /> Ad;acent Structures: !u ` Wetland: /l!/A <br /> Building Heieht: Def. Hgt. � 3 Peak Hgt. i V <br /> Lot Covera�e: G •5 <br /> Gradina: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning F:le: # — Resolution: !� Resolution Date: <br /> Shoreland District: y r S <br /> Avg. Setback ,v�A Bluff Setback: N/�- Lot Coverage: 6 •g <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 0.k <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No �G Date of Council Approval: <br /> RE�IARKS (in house): <br /> � <br />