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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> SS OR LEGAL: l-(cfeV.) 6,0A7 ,' iOwn0 /40 <br /> • <br /> DESCRIPTION OF WORK: r-e U IC. .rte <br /> ZONING REVIEW BY:: 69 DATE : z- 1 ‘ U z <br /> BUILDING REVIEW BY:: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No �__- <br /> PLAN REVIEW Yes No /J SEWER CONNECTION <br /> STATE SURCHARGE Yes -- WANNEIYON <br /> INVESTIGATION FEE -Yes__ No _ PARK FEE <br /> SACYes No <br /> Sll L INS ON <br /> ._.__ . <br /> _._ <br /> Nu % - of SAC Units O (specify) <br /> ZONING CHECK LIST Zoning District: RR.-\ i <br /> Fire Department: Post Office: School District: <br /> S aC nn IN. 3 0 D 2Erci Li, A.--'-1) <br /> Lot Area: Sq.ft. z49 Z,LD2_5Acres `-1 C.3 ,(_---4,-(1-Width St Z Depth v ir\-0,t > <br /> C.Q'r p,a&--,., W �i, O V i () <br /> /7 i N /t-s\.) O c .'Al <br /> Survey Submitted: Yes No Date of Survey: 9- '-(- (6 2 <br /> Col ' 10 to,- 46,1\),C" <br /> Setbacks: S cf.5 2. ,4 -' 0 = 1 22,Z 0 Q. <br /> Front (Lake): (0 0 Right Side: �`--0 3 SO x I z s = c . )5-1) <br /> ,51-12 -r <br /> 2 - -' iy �5 <br /> Rear (Street): 1 (00 Heft Side: I 0 2 <br /> Z-to xo-l. Ie,9o0 <br /> Adjacent Structures: 10 Wetland: Z (o Z <br /> -?o x- _ <br /> Building Height: Def. Hgt. 30 ( Peak Hgt. 2 �,. - <br /> 202 .02_5 <br /> Lot Coverage: 1510 .,c Z.02-, 025 = 30,363.-95 A U-1owc.D <br /> cf.03ifivu5 <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> 9-z3- 5 <br /> Septic: Staff Approval Date: Neva f ,.er C By: 3 f3 cr3(dao 0 it, - po e.s S c°e,o w A et 5,z-L, <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: (U'0 <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 /> 32 <br />