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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z"�U c� Pw cy�s ra� ,- izo�✓� <br /> PID: <br /> DESCRIPTION OF WORK: �v�,w �Z�.S , <br /> ZO�.�tI�Ii G $EVIEW BY: DATE APPROVED: L- � � - °3 <br /> BUII.,DING REV�`V BY: „�,._ DATE APPROVED; z-� � . �3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNEC'ITON <br /> STATE SURCHARGE Yes ✓ No WATERCONNECITON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes �-�' No � �TTEINSPECTION <br /> __ <br /> Number of SAC�Units c+�o�� �=�,,r. ,p�M�`���`��)THER (specify) <br /> -- --____— -� ----------=+'=-:.��yL-�--1_�-�--------------------------------- <br /> ZONING CH�CK LIST Zoning District: C 2 •� � . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes X No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): `15' Right Side: N l,'� <br /> Reaz(Street): (0 3 Left Side: 1 O` <br /> Adjacent Structures: /VIA Netland: N )Q <br /> Building Height: Def. Hgt. 3 d ' Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: 2 - I o -0 3 By: p�Q' Council Approval Da[e: <br /> Septic: Staff Approval Date: N�/3 By: <br /> Zoning File: # 02- 2��8 Resolution: # y�'�� Resolution Date: t�- IZ.-Qz <br /> Shoreland District: ��5 <br /> Avg. Setback: vq,(Z�r��s�,�, Bluff Setback: N�A L.otCoverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' 4•2 2-7 <br /> 75-250' .3y .q 3°�.� <br /> 250-500' <br /> 500-1Q00' <br /> Hazdcover Variance Required: Yes_� No Date of Council Approval: 8-�'Z.'0 2 <br /> REMARKS (in house): <br /> 7 <br />