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CHECK OFF' LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: 215� 5 M A�oy w no�O � <br /> f PID: <br /> DESCRIPTTON OF WORK: 2 d( , r o,� �t.'r+�w o e� <br /> ZO�TG REVIE�V BY: DATE APPROVED: �-�- a'1 <br /> BUII.DPIG REY��V BY: DAT'E APPROVED: -,.�-�r <br /> FEES TO BE CFIARGED: Misc. Fees Calculated By: <br /> PER�VIIT Yes ✓ No <br /> PLA1�T REVIEW Yes � No SEWE.R CO�TNECITON <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No -� PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZOYING CH�CK LIST Zoaing District: GR- /c . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. 3�-,`a3 o Acres �� s � Widch /o o Depth <br /> Survey Submitted: Yes�_ No Date of Survey: 2�1$•�`-t <br /> Proposed Setbacks: 4.b�f• �� � <br /> Freat(Lake): i�9 ' r��' Right Side: 1 l��Z <br /> B.�c (Street): �'��t6 �t� Left Side: S•b <br /> � <br /> Adjacent Structures: �✓I�- Netland: — <br /> Building Hei;ht: Def. Hgt. 2Z' Peak Hgt, z g� <br /> Lot Coveraoe: /ti/.7 <br /> Grading: Staff Approval Date: N� cF�q►vo,P By: -- Council Approval Date: � <br /> Septic: Staff Approval Date: n1�/{ By: — <br /> Zoning File: # oY-2g9Z Resolution: # Resolution Date: �!•� L- ��`I <br /> Shoreland District: vps <br /> Avg. Setback�(A��+�uca Bluff Setback: N//} LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' /.Z i.Z' <br /> 75-250' N 2 ujv 42%o � <br /> 250-500' 3 g.s 38.� <br /> 500-I000' <br /> Hardcover Variance Required: Yes � No Date of Council Approval: y-/2 '°� <br /> ;MARKS(in house): <br /> 7 <br />