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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ZS z,v <br /> PID: <br /> DESCRIPTION OF WORK: w E W <br /> --------------------- <br /> ZONING REVIEW BY: d ,, DATE APPROVED: / - 2/ -5 7 <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ✓� No SEWER CONNECTION <br /> STATE SUR`HARGE Yes =--�No WATER CONNECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> _ N <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: (.o"�c QA:�- Post Office: jLC School District: 6�-L-,v 3 <br /> Lot Area: Sq.fr. (00, ib 2 q-!5Z Acres Z. 3 l Width _30-1,3� 4v-*- Depth 32-9-O'S- dy e <br /> Survey Submitted: Yes _ No Date of Survey: �O ' 7 <br /> Proposed Setbacks: <br /> Front (L-ake): Right Side: G'7 <br /> Rear (Street): Z O Left Side: ISS + <br /> Adjacent Structures: IV 'd Wetland: N <br /> Building Height: Def. Hgt. '2C1 Peak Hgt. <br /> Lot Coverage: 1014 <br /> Grading: Staff Approval Date: By: cz�G . Council Approval Date: <br /> Septic: Staff Approval Date: ►d z -`7 By: 5- <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist.-ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 26 <br />