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, �. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 �1 S S la A�Ay w o o� rLp�,� - <br /> PID: <br /> DESCRIPTION OF WORK: ��ca� <br /> ZONING REVIEW BY: DATE APPROVED: -��- z�. o Z <br /> BUII�DING REVIEW BY: DATE APPROVED: -� - Z g • o z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes � No SEWFR CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning Districr. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes .� �10 Date of Survey: o�.c ��� <br /> Proposed Setbacks: <br /> Fr�nt(Lake): lS' Right Side: �.Zp' <br /> �e�(Street): `S` Left Side: 7 6� '� <br /> Adjacent Structures: hTr-r�-t.t.r�trJ Wetland: �r/r+ <br /> Building Height: Def. Hgt. n/ /�- Peak Hgt. -- <br /> Lot Coverage: ��k <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: ` By: <br /> Zoning File: # �-27 I, Resolution: # Resolution Date: -1-2z- 0 2 <br /> Shoreland District: �,�CS <br /> Avg. Setback: �I /.l�F Bluff Setback: /V/�} L.otCoverage: -- <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 2�p,.�$ <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes ( No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 � <br /> � <br />