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� <br /> E <br /> ' + CHECK OFF LIST FOR ISSUANCE OF PERMITS - <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: / e'�S .� Pa ✓' K D r i d� - <br /> PID: 0 `7 � j17� 2� � z o022 <br /> DESCRIP'TION OF WORK: v� s�v r �"t a a� Y!y��/� <br /> -------------------------------- --------------------- ------------------------------------------------ ---------- <br /> ZONING REVIEW BY: DATE APPROVED: Q�9 9 <br /> BUILDING REVIEW BY: DATE APPROVED: �=i y -� � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No � <br /> PLAN REVIEW Yes �-�' No SEWER COrfNECTION <br /> STATE SURCHARGE Yes `'� No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning District: �/e- 1 � <br /> Fire Department: /VGv�.•� Post Office: r�*��•�-•.•� School District: c•�'«�'^"'��'�' <br /> Lot Area: Sq.ft.� ]� 1 S� Acres • � 1 Width J�2 � Depth 3�� , <br /> Survey Submitted: Yes � No Date of Survey: �Z-7 <br /> Proposed Setbacks: ! 1 _ <br /> Front(Lake): � N� Right Side: �� <br /> � 1 <br /> Reaz(Street): g 9 Left Side: � <br /> Adjacent Structures: 0 K Wetland: � � <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # �3 g S" Resolution: # �i 2�3 Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.otCoverage: <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 /> f �n✓N� A-ttc� <br /> �+PJ].��(lII�'1011Se): N�r o�-t cx V"`� <br /> • 7 <br />