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. � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ON Y <br /> ADDRESS OR LEGAL: ��G � ���-� ���L.2�-�_ ��2 <br /> PID: <br /> DESCRIPTION OF WORK: , --- �_ f/ ] — ,� � �1� G'C��' �'/,�>�3�" <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � (�y��_ DATE APPROVED: (o- Z3-5� <br /> BUILDING REVIEW BY: DATE APPROVED: � - 23-9 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes t� No SEWER CONNECTION <br /> STATE SUR`I-�ARGE Yes �� No WATERCONNECTION <br /> INVESTIGAT'ION FEE Yes No PARK FEE <br /> SAC Y�s � No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: C.R-/� <br /> Fire Department: ry(o�,v/> Post Office: ,N�p�y�r�p School District: ���v�'./3 <br /> Lot Area: Sq.ft. 3?,i�`7 Acres •�s Width Zvp� Depth (9l •25 �v� <br /> Survey Submitted: Yes ( No Date of Survey: �-/1�`l 7 <br /> Proposed Setbacks: � <br /> Front (Lake): _ 1 LO•S Right Side: `�Y �" <br /> Rear (Street): '33•� Left Side: �(3.Z <br /> Adjacent Structures: A-Ti"79c-f�f-C� Wetland: nJ(� <br /> Building Height: Def. Hgt. Z 1� Peak Hgt. Z,b 5 <br /> Lot Coverage: IJ /° <br /> Grading: Staff Approval Date: b -Z3-9� By: � Council Approval Date: N l(� <br /> Septic: Staff Approval Date: N (f� By: — <br /> Zoning File: # � Resolution: #/ --- Resolution Date: " <br /> Shoreland Dist:ict: y�5 <br /> Avg. Setback: �lJ(.9 Bluff Setback: /�1/9 Lot Coverage: /�•`�� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' o. 'E <br /> Hardcover Variance Required: Yes No < Date of Council Approval: <br /> REMARKS (in house): gD`�� o�=A� �y��2�.--� �,,�,•s- �9�rtk-� fl.�c1 v�/t,� � <br /> �(.����.� c v.c�3 ,��aP fo A l - f.o T i.s �S"� oF�f A�/c.c.T !nf � <br /> oNe �c�.�. �� <br /> � 26 <br />