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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I�l �S P/�2.K ip(Z, <br /> PID: <br /> DESCRIPTION OF WORK: N��,v �--5 <br /> ZO.�tni 1G REVIEW BY: DATE APPROVED: _3-�- o y <br /> BUII..DING REVIEW BY: DATE APPROVED; -�_�- o y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes �- No SEWER CONNECITON <br /> STATE SURCHARGE Yes ✓- No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No --- PARK FEE <br /> SAC Yes No � STTEINSPEC"TION <br /> Number of SAC-Units 7-nnn,s�-,;,,L �,�,o,,,, ,�`,,,�,,, OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: Z,./�-) 13 <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. 3Z,2.�`1 Acres .7 S Width Depth <br /> Survey Submitted: Yes�c_ I�10 Date of Survey: 1- Z�- � y <br /> Proposed Setbacks: , <br /> F�ent(Lake): 1 LI Z r Right Side: /b� <br /> Rea�(Street): �g' '= Left Side: z 3 <br /> Adjacent Structures: iva.u� Wetland: N/v� <br /> Building Height: Def. Hgt. 2`►-� Peal:Hgt. 3`� <br /> L.ot Coverage: J 2 `'2° <br /> Grading: Staff Approval Date: 3-I � n�-( By: � Council Approval Date: -- <br /> Septic: Staff Approval Date: N )� By: <br /> Zoning File: # n 3-2 3 Z� Resolution: # Resolution Date: S'Z 5'° 3 <br /> Shoreland District: �-?5 <br /> Avg. Setback: b . 1� Bluff Setback: /�///� Lot Coverage: � Z� <br /> Ezisting Proposed <br /> Hardcover: 0-75' � <br /> 75-250' 2 y.97 <br /> 250-500' t �•Y�j <br /> 500-1000' <br /> Hudcover Variance Required:-#+s�--� No �c Date of Council Approval: Y' Z 5 '`'� <br /> REMARKS (in house): <br /> 7 <br />