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. ' � <br /> CHECS OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 1 �� S Hf��Y W o o!� 20� . <br /> PID: <br /> DESCRIP'I'ION OF WORK: � s �s o.� �o n..e�.. <br /> ZO�TG REVIEW BY: DATE APPROVED: �'Zl-T o 3 <br /> BUII.DING REVIEW BY: DATE APPROVID: �- Y�- �3 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pE�y�' Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes ✓ No WA'I�tCONNECI'ION <br /> INVESTIGATION FEE � Yes No ,/ PARK FEE <br /> SAC Yes No �/ SIT'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> _______—________________ ______ ----------------_____ <br /> ZONING CHE.CK LIST Zonino District: C.�2-►�. . <br /> Fire Department: � Post OfFice: School District: • � <br /> Lot Area: Sq.ft. 1'Z�.53K'� Acres •�-(3 � Width '72 •°�7 Depth 2 Sr6•23 �a <br /> Survey Submitted: Yes�_ No Date of Survey: _ <br /> Proposed Setbacks: � <br /> Front(Lake): Right Side: �`� C�'h O . <br /> Rear(Street): Left Side: <br /> Adjacent Structures: A-m,u.�.t,�9 Netland: N//� . <br /> Building Height: Def. Hgt. [�•�� Peal:Hgt. — <br /> Lot Coveraae: I�•3 H•C. <br /> Gradina: Staff Approval Date: ��c- By: Council Approval Date: <br /> Sepdc: Staff Approval Date: r��R By: <br /> Zoning File: # 03• z°I�5' Resolution: # Resolution Date: 7-z g -'°�3� <br /> Shoreland District: v�e5 <br /> Avg. Setback VA��anrc� BluffSetback: N/r}� LotCoverage: /'r•C • <br /> Existin� Proposed <br /> 0 <br /> Hazdcover: 0-75' y•1 '`"�'� . No Gft►`►"``'O <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No .c Date of Council Approval: <br /> RE1�ZA,RKS(in house): �� <br /> .'. <br /> 7 � <br />