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. CHECK OFF LIST FOR ISSUANCE OF PERil�1ITS <br /> ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �� �:� �.-t'�._;�,�.�-��.�-_> 1� <br /> PID: <br /> DESCR�'TION OF WORK: �►�r��r d� <br /> ZONING REVIEW BY: DATE APPROVED: (C�- g-5 7 <br /> BUII.,DP�tG REVIEW BY: DATE APPROVED: � o -� -� 1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: . <br /> PEKMIT Yes ✓� No <br /> pLAN REVIEW Yes � No SEWER COiVNECTION <br /> STATE SUR`HARCr�� Yes � No WATER CONNEC"ITON <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIlVG CHECK LIST Zoning District: DPR-/!� <br /> Fire Department: (,on� �.' Post Office: c,t: School District: Q(L�p�sc� <br /> Lot Area: Sq.f�. it�o G t,tR�vGc.�Acres �— Width -- Depth "" <br /> Survey Submitted: Yes�C_ No Date of Survey: G '��1-`'i? .�n� �k-���t <br /> Proposed Setbacks: <br /> Front (Lake): 9�� � Right Side: i t 0 � <br /> r <br /> �ear (St ee): ► t0 � `� ��e�-�: 2c'�R �� � <br /> Adjacent Structures: �}TT1�cH-�'7� Wetland: /v//�1 <br /> Building Heigh[: Def. Hgt. (� � � Peak Hgt. --� <br /> Lot Coverage: � ,L <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Da[e: By: <br /> Zoning File: #� Resolution: # Resolution Date: <br /> Shoreland Dis�ic[: . <br /> Avg. Setback: Bluff Setback: L.ot Covenge: <br /> ,�r� Ezisting Proposed <br /> r- <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�ZARI�S (in house): <br /> . 26 <br />