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. , ; <br /> , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Zl�O S H ADY W O O� �Zo�A�o - <br /> PID: <br /> DESCRIPTION OF WORK: (,�iv✓� p-��-�.n n.,.� <br /> ZONING REVIEW BY: DATE APPROVED: c� y- z Y-o z <br /> BUII..DING REVIEW BY: DATE APPROVED: <br /> ---------------- ------------ ------------------------ ------------------ <br /> FEES TO BE CHARGED: �''��"� A'��1VIi�c.F s Calc ated�By:��WN <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW ��s--r— No SEWER CONNECI�ON <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes �To� Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> s�-,6,�f o�e <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wedand: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: �/- z y-v L By: o-U . Council Approval Date: — <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y-C 5 <br /> Avg. Setback Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> 0•�� Hazdcover: 0-75' <br /> �►'r 75-250' <br /> a� 250-500' <br /> ���, 500-1000' - <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />