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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (�-123 (�A 2�< rJ2.we <br /> PID: <br /> DESCRIPTION OF WORK: N C� 2,c5, 5 � C �� <br /> -------------- � �� � � ,� �3 _--�y�2--- <br /> ZO.�tI�i tG REVIEW BY: - --- C�_ � � , - <br /> EUILDI�i 1G REV�W EY: ��a � - �- 02 <br /> — ____----_____�`_ ----------------- ��. .------ --- <br /> FEES TO BE CHARGED: Misc. Fees <br /> PERMIT Yes ✓� No <br /> PLAi�T REVIEW Yes � No r..�.UNNECTION <br /> STATE SURCHARGE Yes � No WATEKCONNECITON <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC Units '� OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: L 2-i 3 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 3�,H'7`� Acres .g b Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): I�j � Right Side: I�•� <br /> Rear (Street): –1 � � Left Side: 33•� <br /> Adjacent Structures: (.Z' Wetland: <br /> Building Height: Def. Hgt. i�. � Pea�:Hgt. 23•5 <br /> Lot Coverage: t�.�� <br /> Grading: Staff Approval Date: � S'��n z By: o�4 d . Council Approval Date: — <br /> Septic: Staff Approval Date: /�!(iA By: <br /> Zoning File: # o i- 27z�5 Resolution: # �f7 i 2 Resolution Date: oc r z 2, 2ou� <br /> Shoreland District: ..�-e3 <br /> Avg. Setback: c9.�� Bluff Setback: N //� L.ot Coverage: p,Ic <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' !`7•�S <br /> 250-500' Z�i� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No � Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />