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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z,�f � s t-}�by w�o oD 2A <br /> PID: <br /> DFSCRIPTION OF WORK: Pe�c� IQ a c.(� <br /> ----------------------------------------- ---------------------------------------- • , 2 <br /> ----------------------------- <br /> ZONING REVIEW BY: ,,,,� C� DATE APPROVED• G Y- �7 <br /> BUII..DING REVIEW BY: N/A- DATE APPROVED: <br /> ------------------------------------------ <br /> ----------- ------------------------------------------ <br /> FEES TO BE CHARGED: ,�'3�•°� Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes No SEWER CONNECITON <br /> STATE SUR`HA�ZG� Yes _� No �j, WATER CONNECTION <br /> INVESTIGAZ'ION-FEE Yes No _� PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> �ONING CHECK LIST Zoning District: C.R-13 <br /> Fire Depariment: �� C- Post O�ce: — School District: "` <br /> Lot Area: Sq.ft. Nr� Acres — Width -- Depth <br /> Survey Submitted: Yes t�- No Date of Survey: oN t�►u�. <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: ���� A,�„�� � <br /> Rear (Street): Left Side: � oi'�-� ��5-Q <br /> Adjacent Structures: q-ny3.G(,f.�� Wetland: /v�/,� <br /> Building Height: Def. Hgt. Peak Hgt. <br /> �, Lot Coverage: <br /> N� Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # 2Z-�3 Resolution: # � � d Resolution Date: 3 Z'�- y 7 <br /> Shoreland Dist:ict: v P5 . <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> �(•� 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />