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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �.o � O st��Zx'.V�w� D R- <br /> PID:' <br /> DESCRIPTION OF WORK: <br /> Z0�1NG REY�W BY: DATE APPROVED: g-/3-cr� <br /> BUII.DING REVIEW BY: `U DATE APPROVED; <br /> FEES TO BE CHARGED: 6R��N6 ���� Ca culat d B <br /> isc. ee��� �� �� <br /> PERMIT Yes _,� No <br /> PLAi�1 REVIEW Yes No � SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CIi�CK LIST Zoning District: R.R��� <br /> Fire Department: �ni 6 G4�C,� Post Office: (,�,�,.�G f��c..�a School District: C9�.o•�*� <br /> Lot Area: Sq.ft. nro c��t�+ ,�Acres -- Width — Depth - <br /> Survey Submitted: Yes_ c� No Date of Survey: � -tZ-��- <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: S, ��,�m �,,,�,� � s�� <br /> Reaz(Sueet): Left Side: ��z/- � G�,`'e-T <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. 3.'S � Peak Hgt. <br /> Lot Coverage: N �/} <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> �� Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> E�tisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />