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CHECK OFF LIST FOR ISSUANCE OF PEW IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 'T'40 Td^K A LrA <br /> PID: <br /> DESCRIPTION OF WORK: NP) <br /> _ -------------------------------------- ------- <br /> ZON-L IG REVIEW BY: I ,� DATE APX-R � s �qezy <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 WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ---------------—------------------ <br /> ZON-LNG CHECK. LIST Zoning District: �. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Dept <br /> Survey Submitted: Yes I/ No Date of Survey: 119 3 <br /> Proposed Setbacks: t-,C4 <br /> Front(Lake): Side: VIA <br /> Rear(Street): P K1 -eft Side: Sea45 <br /> Adjacent Structures: N Q Wetland: LA 00 <br /> Building Height: Def, Hgt• Peak Hgt. <br /> Lot Coverage: 5�e�e�wa� Crj�Je.Vacl `"`« 2XGe� U� <br /> Grading: Staff Approval Date: By: /Council Approval Date: <br /> Septic: Staff Approval Date: Ai 14 By: <br /> Zoning File: t Resolution: # 5320 Resolution Date: 1` <br /> havelcwtr � �t`'t^"a1,e la-kaSk.�� <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage; <br /> E-isting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000, <br /> Yes No Dace of Council ApProvz_': <br /> Ha'dcover `a:izL,c.. Required: <br /> F.E�L4RhS (inhouse): h Cd4- <br /> caw nQ. sle�r►��_ llc�.�ed V�rv«n <br />