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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: . 9 7 0 (,J rte.''Z o Cj\ v d • \1v-t S 5 5 3 9 I. <br /> PID: ill 00044 <br /> DES CRIPTI ON OF WORK: c,v . = v 4- ; vx. C r-e co i • r")cr d • <br /> ZONTiYG REVIEWBY: G DATE APPROVED: <br /> BUILD]�lNG REVIEW BY: . • • . • - DATE APPROVED: • . • <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 WA.U.L.K CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units .. •'OTHER (specify) <br /> ZONING CHECK LIST Zoning District: R - 1 g <br /> Fire Department: L L Post Office: lti&Li z 0,4' School District: 2 7 g . • <br /> Lot Area: Sq.ft. • Acres 3 Width 7 ( 0 Depth 1 r r <br /> Survey Submitted: Yes No Date of Survey: L/ 1 `l$ <br /> Proposed Setbacks: <br /> Front (Lake): - Right Side:- <br /> Rear (Street): . Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: - By: Council Approval Date: <br /> Septic: Staff Approval Date: By: . • - <br /> Zoning File: # • Resolution:# Resolution Date:• • <br /> Shoreland District: <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 /> ' Y <br /> REMARKS (in house): <br /> • <br /> • <br /> • '' 26 <br /> . <br />