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. , . <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z hQ95 P���'�'4 SA-N� �✓i-� - <br /> PID: <br /> DESCRIPTION OF WORK: �p p �-r�,c�.•� -- <br /> ZONING REVIEW BY: - DATE APPROVED: 4- z.o �7 <br /> BUII:DING REV�W BY: DATE APPROVED: � -.�o -�S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes ._- No WATER CONNECTION <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: L R- I<3 <br /> Fire Department: rlil,c9unn/J Post Office: �_-,�{�,�,It School District: �, P ��-r�n�1,c� <br /> Lot Area: Sq.ft. Z`-t.lv5 V Acres ,S`b Width !c9v Depth Z�(� .S <br /> Survey Submitted: Yes� No Date of Survey: oN �i�.c y-�v•�5 <br /> Proposed Setbacks: � , <br /> Front(Lake): l l 9 � Right Side: I S <br /> Rear(Street): < <`� Left Side: b�t� <br /> Adjacent Structures: /�-r-n�ac.4+-c.� Wedand: N I✓4 <br /> Building Height: Def. Hgt. b•1� Peak Hgt. — <br /> Lot Coverage: p.1 c <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> .A . Zoning File: # Resolution: # Resolution Date: <br /> � ,` <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />