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� ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: � 2, �n SP2+�c:� �c�c�= <br /> PID: <br /> DESCRIPTION OF WORK: p�q�,� y- /ZCY-Aiwi.,.� wa-/ls <br /> ZO�TIl\'G RE'VIEW BY: DATE APPROVED: y-�3 �a0 <br /> BUILDING REVIEW BY: DATE APPROVED: K-►'� -�o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes _� No <br /> PLAN REVIEW Yes _� No SEWER CONNECTION <br /> STATE SURCHARGE Yes f/ No WATER CONNEG"TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STI'EINSPECT'ION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning Districr. C,2•�B <br /> Fire Department: /I�t,��,�✓► Post Office: ��,,,,.,�J School District: �:,r�re nflc.4- <br /> . - <br /> Lot Area: Sq.ft. 1 I�")3 b Acres �2^7 Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Frvnt(Lake): (,O� Right Side: 3-7� <br /> ` <br /> Roar(Street): � Z 5 Left Side: S <br /> Adjacent Structures: !��c.W� Wedand: � i I4 . <br /> Building Height: Def. Hgt. /V /(�t- Peal:Hgt. /�/i4 <br /> Lot Coverage: t 6•� <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # '�3 5 Resolution: #�� Resolution Date: �"Z K-4 g <br /> Shoreland Disuict: u�5 <br /> Avg. Setback: ���i Bluff Setback: n/(r9- Lot Coverage: 1 b •a <br /> Existing Proposed <br /> Hardcover: 0-75' /�•5 <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 />