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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4/Z5 Td/VK-4 WA <br /> PID: <br /> DESCRIPTION OF WORK: ,sem <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: &7 <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes _ No Date of Survey: t.r' <br /> Proposed Setbacks: , <br /> Front(Lake): 140 Right Side: !YJ -f- <br /> Rear(Street): 2 to + Left Side: toot + <br /> Adjacent Structures: 3p' -� Wetland: N /A <br /> Building Height: Def. Hgt. 6 .!L Peak Hgt. <br /> Lot Coverage: /V I/V <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: y-" <br /> Avg. Setbacky.K Bluff Setback: Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' o.l< <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No w._ Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />