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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 0 T o6 0 Q-0A VD <br /> PID: <br /> DESCRIPTION OF WORK: JQ G'r'q\C 1-4 e.YJ GARA6c <br /> ----------------------- <br /> ZONING REVIEW BY: DATE APPROVED: c) 2 Y -v� <br /> BUILDING REVIEW BY: DATE APPROVED: S -z Y -o-i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ 'No <br /> PLAN REVIEW Yes No SEWER CONNECTION <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 /> ZONING CHECK LIST Zoning District: (,(Z-1C <br /> Fire <br /> 2-1C- <br /> Fire Department: m c)y N Post Office: LAW 1 4-LArTA School District: w eSTONW-A <br /> Lot Area: Sq.ft. X I S-C) Acres . Z Width 5_o Depth /"? 5 <br /> Survey Submitted: Yes_4 No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: 10 <br /> Rear(Street): H•S Left Side: -36 <br /> Adjacent Structures: to Wetland: 32- <br /> Building Height: Def. Hgt. Peak Hgt. 0•IG <br /> Lot Coverage: 0J&/0 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: "' By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: A)9 <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 /> 7 <br />