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. ` • t <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�� S �tt A�'�(W t�d� f2��,�-✓, <br /> PID: <br /> DESCRIPTION OF WORK: ,4�j�,n�s 1� 6z�rCl�e.� r- De-c!t <br /> ZONING REVIEW BY: � DATE APPROVED: �7- �g.o-Z <br /> BUII.DING REVIEW BY: DATE APPROVED: -1 - z�i .o-Z� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes —� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <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_� No Date of Survey: �„r Fr�; <br /> Proposed Setbacks: <br /> F�e�t(Lake): Q D � Right Side: 'Q <br /> �ear(Sueet): �.�` Left Side: 129,b <br /> Adjacent Structures: Wetland: N'�/} <br /> Building Height: Def. Hgt. b � � Peak Hgt. — <br /> Lot Coverage: ('�,�fC <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y�J <br /> Avg. Setback: G •l� Bluff Setback: /V�/� LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> �s-2so� `� ^ro G��� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No_� Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />