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' `, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � (� �It1 RT�N W p G►t�c �L/p►t} <br /> PID: <br /> DESCRIPTION OF WORK: rJ� r't o,�5► — G � o <br /> ZONING REVIEW BY: DATE APPROVED: 2-�Y-dZ <br /> BUII.DING REVIEW BY: DATE APPROVED: 2. -!Y-v z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes (/ No SEWER CONNEG"I'ION <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No ' � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes oc No Date of Survey: <br /> Proposed Setbacks: G� Ao'�! 0 P <br /> Frent(Lake): Z'� 3'� Right Side: t`tS �37�� <br /> Rea�(Street): 36' ��= Left Side: t 4•7� � � <br /> Adjacent Structures: A"7�71a►c,(�Q el Wetland: � (/! <br /> Building Height: Def. Hgt. p. �L Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: � /p By: <br /> Zoning File: # �Db Resolution: # Resolution Date: � <br /> zo�'�J` <br /> Shoreland District: �;,�� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eusting Proposed <br /> Hazdcover: 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 />