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� ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /y�� .S�A�y t,.f�c� I�� <br /> PID: <br /> DESCRIPTION OF WORK: Q`�,.. /a�,",� ,p`r�c,,�,�-�-� C,P�?•4e�;� <br /> - ------- — - -----------------�--- <br /> --------------------------------- - . ` _ � <br /> ZOY.ni 1G REVIEW BY: .�-�,Q DATE APPROVED. s �{ o <br /> BUII.,DING REV�W B�':�Zf ' DATE APPROVED; s-��-o� <br /> FEES TO BE CHA.RGED: ,�-- Misc. Fees Calculated By: <br /> PERMIT Yes � ,.--�o <br /> PLAN REVIEW Yes � SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE T'es No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CI3�CK LIST Zoning District: L�z-��- <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. lo,°►i S Acres .(b Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: 3-`� ' � <br /> Proposed Setbacks: Qe�.tC. (oA,�1k�t (1.t,c.C�- CaA��� <br /> F�eat (Lake): •S s5.y Right Side: � 3 2 3' <br /> Rear (Street): �.� Left Side: Z� � S � <br /> Adjacent Structures: �0 � �Vetland: /V��{ <br /> Building Hei�ht: Def. Hgt. ��( Peak Hgt. � � <br /> Lot Coverage: � �sa� s�, f�'-T <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # 03-251.� Resolution: # Resolution Date: '.y -Z�-��Y <br /> Shoreland District: ��� r <br /> Avg. Setback: _��,. Bluff Setback: N 1 � L.ot Coverage: .� I S�° �ti tT <br /> Existing Proposed <br /> Hardcover: 0-75' Z b,3 � 1357a5�r <br /> 75-250' S �• 3 �003 Sy. �r <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />