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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: s 0 w c_A 2 c.A N G S <br /> , PID: <br /> DESCRIPTION OF WORK: SIIWIACOE 5H c—v nAo kse tax rs77 ,Sly <br /> ZONING REVIEW BY: mik A. DATE <br /> I,,� DATE APPROVED: '�- 9.9 <br /> BUILDING REVIEW BY: / iiril<lgu DATE APPROVED: 7 -ei -S <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 WATER 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: a 2-!(3 <br /> Fire Department: CAA"L4. Post Office: wS U/GC School District: d/LcMiu <br /> Lot Area: Sq.ft. illy C/44N6{ Acres — Width Depth <br /> Survey Submitted: Yes OC No Date of Survey: 5-2-7 27 <br /> Proposed Setbacks: <br /> Front(Lake): 2l0 7 Right Side: 6,0' <br /> Rear(Street): (9P / f Left Side: I ZSb' t_ <br /> Adjacent Structures: ,(0 • Wetland: <br /> Building Height: Def. Hgt. 0• K Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> � A, - Zoning File: # Resolution: # Resolution Date: <br /> t r <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 /> REMARKS(in house): <br /> 7 <br />