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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z 1 et 0 w_ w y4,.L.t-v4-T &..V 0 <br /> PID: - // .2_3- - ©o3 v <br /> DESCRIPTION OF WORK: n F p t C \au k L.,V3 1&) to • <br /> ZONING REVIEW BY: • - DATE APPROVED: g• 7 <br /> BUILDIiYG REVIEW BY: ro � DATE APPROVED: -z• r - <br /> FEES TO BE CHARGED: • • Misc. Fees Calculated By: <br /> PERMIT _Yes t/" No <br /> PLAN REVIEW Yes No SEWER CONNECTION •'."'.�»%�.•���� <br /> STATE SURCHARGE Yes ✓ NoWA1"EK CONNECTION "_"�:• <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes K._ No SITEINSPECTION <br /> Number of SAC Units 3 P rioterG,w'.'/ OTHER (specify) <br /> ZONING CFJi CK LIST ° Zoning District: <br /> Fire Department: (w.1 (Alfie Post Office: (pNG LA fce School District: 0,2-onfa <br /> Lot Area: Sq.ft. 1(31 2211 Acres I Width / $ .Y'2— Depth 2$'1.? <br /> 2 <br /> Survey Submitted: Yes 1e., No Date of Survey: 'L-Lz •S 2 <br /> Proposed Setbacks: <br /> Front (Lake): -131 � Right Side:. Li-7 -- --' • <br /> Rear(Street): Sb .— Left Side: /. -' <br /> Adjacent Structures: /k///g- Wetland: <br /> Building Height: Def. Hgt. V Peak Hgt. o. VV- <br /> Lot Coverage: AI 1/4 <br /> Grading: Staff Approval Date: Z.- a 1- q‘ •1 By: /0 • Council Approval Date: — <br /> Septic: Staff Approval Date: A.) ( A By: <br /> Zoning File: # Resolution: # Resolution Date:• <br /> Shoreland Dist--ict: <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 /> .,i <br /> .26 <br />