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CHECK OFF LIST FOR ISSUAINCE OF ?E <br /> RNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y5S 7-0NKfq-wk4 PID: <br /> DESCRIPTION OF WORK: N <br /> ZO`�G REVIEW BY: t� DATE APPROVED: ct - zo—9 5 <br /> BUILDD\G REV�W BY: DATE APPROVED: 2 215- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes `l N0 <br /> PLAN RE`ZEW Yes v No SEWER CONNECTION ,uv �-/�� s►� <br /> STATE SURCHARGE Yes —� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓' PARK FEE <br /> SAC Yes ✓ No 4FF,— SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------ ---- <br /> ZONE\G CHECK-LIST Zoning District: (,/z-/a Shoreland District : L(Pj <br /> Fire Department: 1,t, <br /> Post Office: L�— School District. e) <br /> Lot Area: Sq.fr. 2 S, <br /> no v Acres Width 100 Depth 7 5ro <br /> Survey Submitted: Yes OC <br /> No Date of Survey: <br /> Proposed Setbacks: <br /> Front lLake): (O? `� Right Side: <br /> Rear (Street): (0&-o Left Side: lZ Ifs <br /> Adjacent Structures: /rt///� Wetland: /V <br /> Building Height: Def. Hgt. "3r7 Peak Hat. a <br /> Avg. Setback: <br /> Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' U K <br /> 500-1000' <br /> Hardcover Variance Required: Yes Noy< Date of Council Approval: <br /> Grading: Staff Approval Date: 2,0 "`l s Bv: 6Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> 35 t(, w r A*art <br /> File: � /2,00 Resolution: # 3555 Resolution Date: <br /> Zoninv g '` <br /> REN ARKS (in house): <br /> 26 <br /> i <br />