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_ . � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: �/Z S p l���� IZ-o A-� <br /> PID: <br /> DESCRIPTION OF WORK: o a1 <br /> zo�vG x�v�w BY: DATE APPROVED: �-fg—oS <br /> BUII.DING REV�tiV BY: DATE APPROVED: b -43 -os' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW � Yes �/ No SEWER CO�TNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CI�CK LIST Zoning District: L2-1/3 <br /> Fire Department: Post O�ce: School District: <br /> u,a c� s/f-o.�,� <br /> Lot Area: Sq.ft. Z.033 Acres ��,51�i Width 22g Q �S'S��S�rlc Depth <br /> Survey Submitted: Yes_� No Date of Survey: v�, zc���-/ <br /> Proposed Setbacks: <br /> Front(Lake): i 5'3� �- Right Side: Z-o' <br /> Rear (Street): �y7 Left Side: 1 y3� � <br /> Ad;acent Structures: ,y� � Wetland: �tJ�� <br /> Building Height: Def. Hgt. �1� Peak Hgt. /Jj� <br /> Lot Coverage: Nllq- <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning F�le: # dS-31�e� Resolution: # Resolution Date: -Zs'os <br /> Shoreland District: <br /> Avg. Setback: �iariR.a�nrt�.,% Bluff Setback: I.otCovera?e: <br /> Existing Proposed <br /> Hardcover: 0-75' o v <br /> 75-250' S"3 , 3•3 <br /> 2�Q-500' 2 2.t, z 2.� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No o�_ Date of Council Approval: <br /> REI�IARKS (in house): _ <br /> � <br />