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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�$O S�t.���Kv l�.w �(J 2 <br /> PID: <br /> DESCRIPTION OF WORK: �p0 RT �v 2i- <br /> Z0�1Il�G REVIEW BY: � WN---- DATE APPROVED: s •Z.�-9`� <br /> BUILDING REVIEW BY: DATE APPROVED; �;• �-� 5� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes �/' No SEWFIZ CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CB LIST Zoning District: (2 R- 1(� <br /> �ire Department: (A��41u: Post Office: (�•n,1,4,�.�c School District: c��� <br /> Lot Area: Sq.ft. Ak� c Acres Width Depth <br /> Survey Submitted: Yes X No Date of Survey: �•2't• 4�i <br /> Proposed Setbacks: <br /> Front(Lake):. Sac�� '� Right Side: !ZZ•`� � <br /> Reaz(Street): 9 6•3 Left Side: 2 b`I` <br /> Adjacent Structures: I 2.'0 Wetland: N(� <br /> Building Height: Def. Hgt. N�/�- Peal:Hgt. <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: NV <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 /> 7 <br />