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CHECK OFF LIS� FOR ISSUANCE OF PERMITS <br /> FOR OFFI+CE USE ONLY <br /> ADDRESS OR LEGAL: �=#����C� Nv�'`�� SI��u'� ��„�t <br /> PID: <br /> DESCRIPTION OF WORK: t iG v't � r <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: � ��� DATE APPROVED: _j� -j j -(i�� <br /> BUILDING REVIEW BY: '��„�,,� DATE APPROVED: _,�;� - �( -O� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEC'ITON <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: L-� ' I� <br /> Fire Department: ( l v t�l✓�O Post Office: School District: �7 7 <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: o,Y �-,� <br /> Proposed Setbacks: t � <br /> Fa�rrr(Lake): C �L� :� Right Side: /Q <br /> / ! <br /> $eerr(Street): _��-rj Left Side: J[J <br /> Adjacent Structures: Wetland: ��- <br /> � � i <br /> Building Height: Def. Hgt. �-� Peal:Hgt. � 7 <br /> Lot Coverage: <br /> Gradin;: Staff Approval Date: ��—�(—L�,h By: `�j V( Council Approval Date: <br /> , ic: Staff Approval Date: By: <br /> Zoning File: # Iv/'� Resolution: # Resolution Date: <br /> Shoreland District: �,r� �/� <br /> Avg. Setback: p.�c Bluff Setback: �/"(- L.ot Coveraae: <br /> 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 /> 7 <br />