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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONL,}' <br /> ADDRESS OR LEGAL: ���/5 �ST PT G'11/ <br /> � PID: <br /> DESCRIPTION OF WORK: /U EGv /ZG.S <br /> -------- __________ � _______ ------------------------------------------------------------ <br /> ZO.�Ni G REV.LEW BY: IG� DATE APPROVED• �� /� D� <br /> BUII..DING REV�W BY: DATE APPROVED: �a - !7-�S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW � I'es �/ No SEWF.R CONNECTION <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC�Units �5 Fe•t �,.-- /1.�.•� OTHER (specify) <br /> --�—_---------------------------�'–�=-----?�o�–5='�=�=---------------------------------------------- <br /> ZOYI��TG CH�CK LIST Zoning Districc: �') <br /> Fire Deparcment: ' Post Office: School District: <br /> j �/ �1 �$fiD�G/�JE <br /> Lot Area: Sc.ft.�7 `1 Acres �. 7 Width s �75'S�7aA�Depth ��5� � <br /> q//3/OS <br /> Survey Submitted: Yes� No Date of Survey: D 3 D..�I�V/5�,� <br /> Proposed Setbacks: I� Dt�CK- � <br /> Front(Lake): ��Z'��15 LC Right Side: f�• � <br /> , NoktN � <br /> Rea�c��LE��� �I �� .� <br /> �`L �/ � /� <br /> Adjacent Structures: 7i/�� Wetland: K <br /> Building Hei;ht: Def. Hgt. �7�✓, Peal:Hgt. _�,� <br /> Lot Covera;e: 21Zg 5•�� �',�� <br /> Grading: Staff Approval Date: �0- i'1- o� By: �t Council Approval Date: � �0 DS SU��� <br /> 7o y�Z�lo s L���- <br /> Septic: Staff Approval Date: By: �/�Ej//�E�le <br /> Zoni.ng File: # '� 'J�I Resolution: #� Resolution Date: �I �i�D � <br /> Shoreland District: 1 �� <br />. Av?. Setback: � l i� Bluff Setback: � � I.ot Covera�e: GONW�NI J NG C`� ��I'y� <br /> Eustin� Proposoed <br /> Hardcover: 0-75' �D� �� o <br /> 75-250' . �D <br /> 2�0-500' -- —" <br /> 500-1000' �r <br /> —t— <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS (in house): i\�-f"tV�G ��1�1�i"�JuCJ� , (/C-t"'� N�� �� l /�li� <br /> � <br />