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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: �!3�(S No�L�-F �P�o� /��t`o-e . <br /> PID: <br /> DESCRIPTION OF WOR.B: fV�(�.J !�S <br /> ZO�TIl�TG REV�W BY: DATE APPROVED: `�-• !�-� <br /> BUILDING REV�W BY: DATE APPROVED; Y-r�-� <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 WATER COlyNECTION � <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No oC SIT'EINSPECTION <br /> Number of SAC�Units -r(�s��r�. �.,� �,e,�,,,� OTHER (specify) <br /> ZONT�i TG CH�CK LIST Zoning District: e-�-�� . <br /> Fire Department• �vw�ovW Post OfFce: rvw�s�r3 School District: c,.>�5-r—��(kh <br /> Lot Area: Sq.ft. y 2��5a�1 Acres o`i�3 � Width y 1�1�7 b Depth 3�3-"��'( , <br /> Survey Submitted: Yes c� No Date of Survey: �-e`( ' � � <br /> Proposed Setbacks: � <br /> Front(Lake): I Vo0� Right Side: ►�` <br /> Rear(Street): I (�� Left Side: �`Z•3 <br /> Adjacent Structures: /� � (4} Wetland: a� 1� . <br /> Building Height: Def. Hgt. i� Pealc Hgt. �°I <br /> Lot Coverage: � - �` <br /> Grading: Staff Approval Date: '-r ' �1" �� By: � Council Approval Date• � <br /> Septic: Staff Approval Date: /� ( Ia By: <br /> Zoning File: # Z-'� �� Resolution: # 'i Y � Resolution Date: 2 '2 6 -�� C�,.vT L�� <br /> �r�.ar.��a-rr.�') <br /> Shoreland District: ��s <br /> Avg. Setback. �`� �, �,��,,a,Bluff Setback: /��/4- Lot Coverage: �,� <br /> g��g Proposed <br /> Hazdcover: 0-75' � <br /> 75-250' zK.s` <br /> 250-500' ` '� — <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> RF.MARKS(in house): <br /> 7 <br />