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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `40 T 2 t=t= TtZla t c_ <br /> PID: <br /> DESCRIPTION OF WORK: rV CCS (ZE5 <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 2.•Z-g -'rrtd <br /> BUILDING REVIEW BY: DATE APPROVED: ( (f 55' <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 /> INVES f IGATION FEE Yes No PARK FEE <br /> SAC Y,;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: (jefy� (A(<::�(; Post Office: tin. = School District: U rZp"D <br /> Lot Area: Sq.ft. $-1, 7 Z Acres Width ZQI Depth 31(,t Z <br /> riz <br /> Survey Submitted: Yes ;K, No Date of Survey: ( 2,-1 7- 78 <br /> Proposed Setbacks: <br /> Front (Lake): _ (a 6 ` Right Side: 7`f <br /> Rear (Street): %03 Left Side: 12,7,2- <br /> Adjacent Structures: /y(A Wetland: — <br /> Building Height: Def. Hgt. Z5.S Peak Hgt. 34. 5 <br /> Lot Coverage: 0. <br /> Grading: Staff Approval Date: 16 By: Council Approval Date: �--' <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: yo <br /> Avg. Setback: Bluff Setback: 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 />