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., <br /> , . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> , <br /> ADDRESSORLEGAL: 3zz5 S „a-u ,q� �'V <br /> PID: <br /> DESCRIPTION OF WORK: .rq�� �n uv.r �Z.�;w�,�`c. <br /> ZONING REVIEW BY: DATE APPROVED: s-a -c� <br /> BUILDING REVIEW BY: DATE APPROVED: 5-z-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �' No SEWER CONNEC'TION <br /> STATE SURCHARGE Yes v No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: RQ- ►!3 <br /> Fire Department: Post Office: nt � School District: 0 R��o <br /> Lot Area: Sq.ft. �tlfJ ct� Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: 3-31 -�� <br /> Proposed Setbacks: <br /> F:c��(Lake): f2 AD� t Right Side: 1 3 5�+ <br /> �ear(Street): t Z 5� '�' Left Side: �' t' <br /> Adjacent Structures: A-�--no.c,6Ft3-�J Wetland: /V�/a- <br /> Building Height: Def. Hgt. �_ (�- Peak Hgt. �•I�-. <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: �� <br /> Avg. Setback: t�•K- Bluff Setback: N�� Lot Coverage: N/i4- <br /> Existing Proposed <br /> Hardcover: 0-75' � <br /> 75-250' 1�•6 7 <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />