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CHECK OFF LIST FOR ISSUANCE�OF PERMITS <br /> ' ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1�i�O Gc��,�,,., �2e�a,a L� <br /> PID: <br /> DESCRIPTIO�t OF WORK: A�p►n aN� ��'t.�vvw�o�Z. <br /> ZO�Tni TG REVIEW BY: � �— -�-------------DATE APPROVED: i1 �z-�s'---- <br /> BUII.DItiG REVIE�V BY: DATE APPROVED: iz •�2 -oS <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW � Yes ✓ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATERCONIVECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TI�TG CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes_,� No Date of Survey: II•Z�3-oj <br /> o nq,�? . <br /> Proposed Setbacks: P0ti"�" �d+� <br /> �'ront�(Lake):. .��S ���u Righ[Side: , 1.K 'zo S, <br /> . <br /> .- <br /> Rear (Street): H�y `11� Left Side: �7 �6� <br /> Adjacent Structures: � ��- Wetland: �/�I <br /> Building Height: Def. Hgt. �.�� Peal:Hgt. — <br /> Lot Coveraoe: �r 1� <br /> Grading: Staff Approval Date: N� c By: Council Approval Date: <br /> Septic: Staff Approval Date: Lt1,J�j- By: <br /> Zoning File: # � Resolution: !# Resolution Date: <br /> Shoreland District: �� <br /> Av�. Setback: Bluff Setback: L.ot Coverage: <br /> Eatistin� Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 2�0-500' <br /> SOa-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REl�IA12KS (in house): <br /> 7 <br />