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' <br /> �y CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 4 3s C.o � (� <br /> PID: <br /> DESCRIPTION OF WORK: �q Q�� � o� �4 X�� <br /> ZONL�TG REVIEW BY: DATE APPROVED: s'-�o• �`� <br /> BUILDING REVIEW BY: DATE APPROVED: S. �v -4 9 <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 WATERCONNEC'fION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> _____________ _____________________�__-------------------------------------------------------------------------- <br /> ZONING CHECK LIST zoning Disuict: �R-' � � <br /> Fire Department: � (�c,�c,4 Post O�ce: �Nc,(�4t� School District: p(l1Dl'�o <br /> �I— <br /> `�$g * Acres 2•�S Width 2 S Qi•� De th Yl�$.3 g <br /> Lot Area: Sq.ft. `�'3, P <br /> Survey Submitted: Yes_� No Date of Survey: �� }-� �t l 2•�•`�� <br /> Proposed Setbacks: , <br /> Front(Lake): /�5 h= Right Side: 4 S� <br /> Rear(Street): Zo"7 Left Side: I lD� <br /> Adjacent Structures: /�-rr�4c�-r�� Wetland: �f (R <br /> Building Height: Def. Hgt. b.� • Peak Hgt. U.t� <br /> Lot Coverage: N �� <br /> Grading: Staff Approval Date: Iv (� By: Council Approval Date: <br /> Septic: Staff Approval Date: -' By: <br /> Zoning File: # — Resolution: # — Resolution Date: � <br /> Shoreland District: N d <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />