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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ;j��c..� <br /> PID: <br /> DESCRIP'TION OF WORK: 2 s� :s���'J��,.,,.;;;�,� �; <br /> ___----------------------------------------------------------------------------------------------------------------- <br /> ZOiVING REVIEW BY: � � , DATE APPROVED: �-�. 5 � <br /> BUILDING REVIEW BY: � ,.,` DAT'E APPROVED: -;-E. -`7� <br /> -------------------------------------------f= --------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes r/' No SEWER CONNECTTON <br /> STATE SUR`�IARGE Yes �/ No WATERCONNECTION <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: ,/'U�-/la <br /> Fire Department: C- ' L' Post Office: �--�-- School District: Q('�;.4�(,� <br /> Lot Area: Sq.ft.�� � cf✓Mt� Acres Width Depch <br /> Survey Submitted: Yes ;X No Date of Survey: i Z •5'—9�-( <br /> Proposed Setbacks: <br /> Front (Lake): I 7�t>� } Right Side: (,�y � � <br /> Rear (Street): j �i S � ± Left Side: � 7� �� <br /> Adjacent Structures: _ d�-77�1C�Eft�� Wetland: .:f�6�� <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: # Resolution: # Resolution Date: <br /> ,p` Shoreland Dist:ict: <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 Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />