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v <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2115 W 4 BE EZ, int u-s <br /> PID: <br /> DESCRIPTION OF WORK: Ss\s ( aoNL1 Po o <br /> ZONING REVIEW BY: L ( DATE APPROVED: <br /> BUILDING REVIEW BY: ki:0 DATE APPROVED: (,—°1—c.0y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTION <br /> STATE SURCHARGE Yes i 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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width // Depth <br /> oN <br /> Survey Submitted: Yes ,� No Date of Survey: -h 14, <br /> Proposed Setbacks: <br /> Front (Lake): "151 Right Side: 10 <br /> Rear (Street): / 7 0 C---) Left Side: I T U 43 <br /> Adjacent Structures: 2.1 ' Wetland: — <br /> Building Height: Def. Hgt. /V//4 Peak Hgt. <br /> Lot Coverage: n/u c <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: NO <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 />