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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 411 S W ATc_,(Zx-Q wN R c'A0 <br /> PID: <br /> DESCRIPTION OF WORK: <br /> ZONING REVIEW BY: DATE APPROVED: C)1;0 <br /> -//• o� <br /> BUILDING REVIEW BY: DATE APPROVED: 7' <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 /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SI TEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ------------ <br /> ZONLYG CHECK LIST Zoning District: RR-1 A <br /> Fire Department: IA A PU_ & Post Office: M A pjA?: j0(&t IJ School District: OR-000 <br /> Lot Area: Sq.ft. Acres (,.( b Width Depth <br /> Survey Submitted: Yes Dk No Date of Survey: 1 -13,5 3 (o r! F 1 L_e) <br /> Proposed Setbacks: <br /> Front(Lake): 3 00' + Right Side: -10 t <br /> Rear (Street): -1 (00' t Left Side: t So' {' <br /> Adjacent Structures: A n rv�.c t-tE17 Wetland: N I A <br /> Building Height: Def. H-t. (7, Peak Hgt. 0.1� <br /> Lot Coverage: IN )rA <br /> Grading: Staff Approval Date: By: — Council Approval Date: — <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: N O <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> E fisting 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 /> 7 <br />