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CHECK OFF LIST FOR ISSUANCE OF PERI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLE;A•LZ 3 (o $O ar v V� - <br /> PID: — 1 l 3 q ob%%o <br /> DESCRIPTION OF WORK: 2 ° S <br /> ZO.N -G REVIEW BY: DATEAPPROVED: S17 00 <br /> BUILDLNO REVBY: DATE APPROVED 3 <br /> REVIEW <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 SITEINSPECTION <br /> Number of SAC-Units OTHER(specify) <br /> ZONL M G CHECK LIST Zoning District: fip L 2-t C_ <br /> Fire Department: M Post Office: 5�39� . School District: 2 77 <br /> Lot Area: Sq.ft. 3 Z 97'q Acres 7SG Width i agz4-u LA-&_ Depth <br /> Survey Submitted: Yes No Date of Survey: 2 00 <br /> Proposed Setbacks: r L� ,7 1 +: 3, <br /> Front(Lake): Right Side. <br /> T ) t 5 -7 1 <br /> Rear(Street): - Y7 Left Side: - _ <br /> 4. <br /> Adjacent Structures: - f ® Wetland: <br /> 2 S' <br /> Building Height: Def. Hgt. 0 r Peak Hgt. <br /> Lot Coverage: O K <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: N t A By: <br /> Zoning File: # -- Resolution:# Resolution Date: <br /> Shoreland District: yle 7 <br /> Avg. Setback: N/A- Bluff Setback: n/f/F LotCo«rage: D K <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 Cin house): <br /> 7 <br />