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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 462.0 T'o t lycrA\j1 t✓WAN <br /> PID: <br /> DESCRIPTION OF WORK: IQ C- <br /> -------------------------------- ---------------------—----- <br /> ZONING <br /> ____-------------------------------------- <br /> ZON7NG REVIEW BY: DATE APPROVED: 6 -ZS-D 6 <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 SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONni IG CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft.Apkax ?AA-11 Acres .41 Width Depth <br /> j44.V^.- C.G. <br /> Survey Submitted: Yes_1�e_ No Date of Survey: 2-15-°IS <br /> Proposed Setbacks: <br /> Front(Lake): �� Right Side: ?y t <br /> Rear(Street): 12-�o' f Left Side: Gv 3 <br /> Adjacent Structures: 4 rTis,-, c Wetland: r4 I✓� <br /> Building Height: Def. Hgt. N ►14 Peak Hgt. <br /> Lot Coverage: 1070 <br /> Grading: Staff Approval Date: N 1 td By: — Council Approval Date: <br /> Septic: Staff Approval Date: N 1 A By: <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: �1-eS <br /> Avg. Setback: N ISA Bluff Setback: N 1 A Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No X--_ Date of Council Approval: <br /> REZYL4RKS (in house): <br />