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� � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �'3� 43 Sp Rv c.c-. �t�A��. <br /> PID: <br /> DESCRIPTION OF WORK: i4/Jp►n o�/ fzc.�,o�Z <br /> ZO�TING REVIEW BY: DATE APPROVED: s -z-0 3 <br /> BITILDING REVIEW BY: DATEAPPROVED: 5-z-o� <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO��IlV G CHECK LIST Zoning District: C,Q•�� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres • �3} Widch Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): �-1 S� �' Ri?ht Side: �2 � � <br /> Rear (S[reet): 2�� Left Side: /J (/a <br /> Adjacent Structures: �4-rrr�c�+e� Wetland: n� I� <br /> Building Hei�ht: Def. Hgt. — Peak Hgt. <br /> Lo[ Covera�e: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # DZ-Z�Sfl Resolution: # �{9 I b Resolution Date: . <br /> Shoreland District: �i�5 <br /> Av�. SetbackT n�(/f Bluff Setback: r!Z�1- L.ot Coverage: /t�jl� <br /> Exisiing Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' �_ _ 3�_ <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> �^^� 7 <br />