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., � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS - <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t 31 S �A 2 rc (�R�v c:. - <br /> PID: <br /> DESCRIPTION OF WORK: Z tioQ 5-�tu.� ���o� r"c�a - <br /> ZONING REV�W BY: DATE APPROVED: � • Z� �4� <br /> BUII�DING REVIEW BY: DATE APPROVED: � •Z� �at�' <br /> --------------------------------------�— ------------------------------------------------------------------------- ' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: I <br /> PERMIT Yes �' No <br /> PLAN REVIEW Yes v- No SEVVER CONNECTION ' <br /> STATE SURCHARGE Yes �— No WATER CONNECTTON � �I <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: LR-\� <br /> Fire Department: ��i„�� Post Office: �,o v r./J� School District: w e sr o N 1 v} � <br /> � <br /> � � <br /> Lot Area: Sq.ft. ivo c r��Acres — Width --- Depth — � <br /> Survey Submitted: Yes�_ No Date of Survey: or- i=i c.c� � <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: �I <br /> I <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. II' <br /> Lot Coverage: I <br /> Grading: Staff Approval Date: By: Council Approval Date: /110 <br /> GN� � <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: 4�� <br /> Avg. Setback:`— c9,K Bluff Setback: N�� L.ot Coverage: , <br /> Existing Proposed � <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />