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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /O y p -rw<A w,4 <br /> PID: <br /> DESCRIPTION OF WORK: /vtty <br /> ---------------------------------------------- <br /> W <br /> ZONING REVIEW BY: DATE APPROVED: s--2 0 4 f4 <br /> BUILDING REVIEW BY: DATE APPROVED: s-- Z$- 59 <br /> ------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r- ' No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATESURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Ycs No SITEINSPECTION <br /> Number of SAC Units CAJ--DT F.*&, OTHER (specify) <br /> ----------------------------------------------------- 101 ---------------------------------------------------- <br /> ZONING CHECKLIST zoning District: 0t-1/3 <br /> Fire Department: (AwG Wgg Post Office: ,v� a ry School District: p,tp^rp <br /> i <br /> Lot Area: Sq.ft.6 OflK Acres /. St Width Z7 Depth <br /> Survey Submitted: Yes�_ No Date of Survey: <br /> Proposed Setbacks: + <br /> Fww (Lake): _ 1116 Right Side: j 0 <br /> Roar (Street): L4 00( + Left Side: 10` <br /> Adjacent Structures: /j//,¢ Wetland: N(p� <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: p. K— <br /> Grading: Staff Approval Date: ate' B 0 <br /> y� - ,. Council Approval Date: <br /> Septic: Staff Approval Date: A11,4 By: <br /> Zoning File: # 2319 Resolution: # OZN Resolution Date: /-Z&-Sft <br /> Shoreland District: Uef <br /> Avg. Setback: C% K— Bluff Setback: W1,4 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 /> 26 <br />