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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `t•S w c.A tZ 1..46444-6 44. 44,1454 -- <br /> PID: <br /> "PID: z-ct , - <br /> DESCRIPTION OF WORK: /jEbs (2es <br /> ZONING REVIEW BY: 41.se, DATE APPROVED: 3.3-4 f3 <br /> BUILDING REVIEW BY: DATE APPROVED: 3- 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v- No SEWER CONNECTION <br /> STATE SURCHARGE Yes i, No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v- PARK FEE <br /> SAC Ycs No ' SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: QR•/6 <br /> Fire Department: (,onri(M Post Office: Co-`J j lAtce School District: ( OR t-3 <br /> Lot Area: Sq.ft. 81,12- •V.',V.', Acres 2-o o Width Z S •I9 Depth 3.(0.13 <br /> Survey Submitted: Yes pC No Date of Survey: 12 •2.`(-9 7 <br /> Proposed Setbacks: <br /> Front (L-ake): _ 14 Right Side: G:11; �► <br /> Rear (Strcct): 1 1 0 Left Side: 1 6./.13 <br /> Adjacent Structures: NIR Wetland: A) / <br /> Building Height: Def. Hgt. 2-1' Peak Hgt. 3Z' <br /> Lot Coverage: /if(/4 <br /> Grading: Staff Approval Date: 3-3- ct t3 By: , � Council Approval Date: <br /> Septic: Staff Approval Date: 3-3-9"g By: '' <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> PI' 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 /> 26 <br />