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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I t Z� 5 PiZ��vC,H t`.L- �Zoia-D � <br /> Pffi: <br /> DESCRIPTION OF WORK: rv cw cZ�s <br /> ZO�tING REV�W BY: DATE APPROVED: //-S-0 2 <br /> BUII..DING REVIEW BY: DATE APPROVED; I i-s-u Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes �/ No SEWER COrt1VECTTON <br /> STATE SURCHARGE Yes � No WATERCONNEC"TION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No _� STfEINSPECTTON <br /> Number of SAC-Units �,� OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes_�C No Date of Survey: �c�-�5-oz <br /> Proposed Setbacks: <br /> i <br /> Front(Lake): 2'i5 � Right Side: 11�d.1 <br /> Reaz(Street): 3'a1.y Left Side: ��/S•� <br /> Adjacent Structures: _ /V�p► Wetland: ZoS <br /> Building Height: Def. Hgt. 29•S Peak Hgt. ��t•5 <br /> Lot Coverage: N�(�1 <br /> Grading: Staff Approval Date: __i 2-.�`f- d L By: �.�. Council Approval Date: <br /> Septic: Staff Approval Date: �x�sr�.,i6 o.tc By: h1,f3. <br /> Zoning File: # — Resoludon: # — Resolution Date: - <br /> Shoreland District: y�e 5 <br /> Avg. Setback: o •Ic. Bluff Setback: N/A L.ot Coverage: �l /v9 <br /> Existing Proposed <br /> Hardcover: 0-75' r� <br /> 75-250' � '9q ►`j <br /> 250-500� Z'f.f� <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />