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a ! 4 CHECK OFF LIST FOR ISSUAINCE OF PER vHTS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '13 6 O Lt 1 h(E P &AE - <br /> PID: <br /> DESCPJaMON OF WORK: N E V-s CLE 5 <br /> , <br /> ZONrN-G REVIEW BY: DATE APPROVED: 1-2-5-61 <br /> BUILDING REVIEW BY: DATE APPROYKD: 1- z s • r <br /> FEES TO BE CHARGED: disc. Fees Calculated By: <br /> PERMIT Yes ,� No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> B.,ryESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No _A SITEINSPECTION <br /> Number of SAC-Units -rAAiusFelft OTHER (specify) <br /> ZONE G CHECK LIST Zoning District: <br /> Fire Department: Mw u^k'2' Post Of= MM „A,.a School District: !e+'��r-•�:� - <br /> Lot Area: Sq.ft. 6 9, 1-;7Z Acres /.S�6'7 Width 1 j6jy tA 2 Depth <br /> Survey Submitted: Yes X No Date of Survey: 12-1C►-oa <br /> Proposed Setbacks: <br /> Fkaat (Lake): 22 � Right Side: 1�•K <br /> Raax,(Street): i o6f + Left Side: ILIA <br /> Adjacent Structures: -73 Wetland: <br /> Building Height: Def. Hat. Q Peak Hat. 6 <br /> Lot Coverage: <br /> Grading: Staff Approval Date: /- Z5--O(—. By: d-• 0 Council Approval Date: /•22.01 <br /> Septic: Staff Approval Date: Al //} By: <br /> Zoning File: # ZL i% Resolution: r Resolution Date: /- 2-2 V 1 <br /> Shoreland District: y{S _ <br /> Avg. Setback:' [j.�L Bluff, Setback: <br /> Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' d,J d t�4 G(C Ak- <br /> 500-1000' -- <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REIIA.RKS (in house): <br /> 7 <br />