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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1`{OS �i4�2k. t'�2 <br /> PID: <br /> ' DESCRIPTION OF WORK: G A 2��C A c�✓�► n o�v <br /> ZO�i G REVIEW BY: DATE APPROVED: g- Lo -a z <br /> BUII.DING REVIEW BY: DATE APPROVED; _ g�Zv-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes r/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes !/ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> _____ --- __--------------------------- _---__---_--____ <br /> ZONING CIi�CK LIST Zoning District: G/L• � � . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. 2�.,35 c. Acres .5 i Width Depth <br /> Survey Submitted: Yes_ (� No Date of Survey: OCr l�, ?�o o � <br /> Proposed Setbacks: � <br /> � <br /> Front(Lake): 2z5 � � Right Side: 5�7 `!' <br /> Reaz(Street): Z'7 .°�' Left Side: 9•� <br /> Adjacent Structures: ,4�c,-r,-�-y� Wetland: ,�v�iQ <br /> Building Height: Def. Hgt. (9 �K Peal:Hgt. (�,�G _ <br /> Lot Coverage: /!•3 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # O 2-2'�t g Resolution: # Resolution Date: 7-'t.z�"�- <br /> Shoreland District: �es <br /> Avg. Setback: iv i�+- Bluff Setback: N//�- Lot Coverage: ���3 <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' 2.8•� 2�d.y <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No�_ Date of Council Approval: 7.z,z-PZ <br /> REMARKS(in house): <br /> 7 <br />