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__ <br /> � <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: Z1��i sv��2w000s �R�uG <br /> PID: <br /> DESCRIP'TION OF WORK: N E W (2�S <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: CQ�r,N.� DATE APPROVED: r • 3�- 4 7 <br /> BUILDING REVIEW BY: DAT'E APPROVED: � - 3 t- 5 7 <br /> ----------------------------------------------rt' ----------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR`�-IARGE Yes i/ No WATER CONNECTION <br /> INVESTIGA'I'ION-FEE Yes No ✓ PARK FEE <br /> SAC Y�s ✓� No SITEINSPECTION <br /> Number of SAC Units 1 OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONI�i 1G CHECK LIST Zoning District: (�.-I(A+ <br /> Fire Department: Loiv (AK�e _ Post Office: (�NG �IGC School District: (�/�jnlo <br /> LotArea: Sq.ft. 3�o,Zo�-( Acres •433 Width l73 f1VE Depth Z30� `F' <br /> Survey Submitted: Yes X No Date of Survey: I 2-3- �17 <br /> Proposed Setbacks: � <br /> Front (Lake): �y Right Side: j� �% <br /> Rear (Street): �`t � Left Side: `'� � ��` <br /> Adjacent Structures: N'/r� Wetland: f�!j/� <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: L�(< <br /> Grading: Staff Approval Date: 1 -2i� `�1 By: '�� Council Approval Date: (v�F� <br /> Septic: Staff Approval Date: �i I 1� BY� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> p Hardcover: 0-75' <br /> �t� 75-250' <br /> � 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> � <br /> REMARKS (in house): <br /> � 26 <br />