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' • � <br /> ,,` <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �1 t� b N n 2� s tt���2.�, �p R <br /> PID: <br /> DESCRIPTION OF WORK: S 1-��.� <br /> ZONING REVIEW BY: DATE APPROVED: _�o -t� -�t <br /> BUILDING REVIEW BY: DATE APPROVED: �� -�o-c� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓'' No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of 5AC Units OTHER (specify) <br /> ______------------------------------------------ <br /> ZONING CHECK LIST zoning District: L.2• �� <br /> Fire Department: YY�rvu N/� Post Office: nn.o�...�0 School District: _W`,���1cA <br /> Lot Area: Sq.ft. � Cir�r�„C Acres � Width Depth � <br /> Survey Submitted: Yes No a Date of Survey: i� (�� C C�o�n a N) <br /> �. �-r <br /> Proposed Setbacks: <br /> L <br /> Front(Lake): j 10' � Right Side: �6 <br /> Rear(Street): 7 0� t Left Side: 3�� '� <br /> Adjacent Structures: �`'t' Wetland: IJ,h <br /> Building Height: Def. Hgt. C9.1c. Peak Hgt. <br /> Lot Coverage: t� �- <br /> Grading: Staff Approval Date: �J�A- By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # — Resolution: !� Resolution Date: <br /> Shoreland District: �o <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Pro�sed <br /> Hardcover: 0-75' <br /> 75-250' � <br /> 250-500' <br /> 500-10i10' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�S(in house): <br /> 7 <br />