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' i • <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL-: 2�i�i o S u s s�� t�r� <br /> PID: <br /> DESCRIPTION OF WORK: 2�.—r-� a <br /> ZONING REVIEW BY: DATE APPROVED: -r -Z� -0 3 <br /> BUII..DING REVIEW BY: ` DATE APPROVED: � .z�► -�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pI,AN REVIEW Yes -�� No SEWER COriNECTTON <br /> STATE SURCHARGE Yes � No WATII2 CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION. <br /> Number of SAC Units OTHER (specify) <br /> ZOti'ING CHECK LIST Zoning Districr. <br /> Fire Department: Post Office: School District:. <br /> Lot Area: Sq.ft. Acres Widch Depth <br /> Survey Submitted: Yes � No Date of Survey: �• 2Y-� � <br /> Proposed Setbacks: <br /> Front(Lake): ► `6� Right Side: Z 9 K <br /> Reaz(Sueet): t 3S Left Side: �� � <br /> Adjacent Structures: �4rn9c�� Wetland: �6 c� <br /> Building Height: Def. Hgt. t�.lL Peak Hgt. � <br /> Lot CoveraDe: N/f� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # � Resolution: # Resolution Date: . . <br /> Shoreland Disuict: N a <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eusting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMA1tI�S (in house): <br /> 7 <br />