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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 22..<-5 Lie/ H/`-�S /Ze 4'0 <br /> PID: <br /> DESCRIPTION OF WORK: Ck-5 vv rviAI e <br /> ZONING REVIEW BY: O� " DATE APPROVED: �/-g-OS <br /> IN REVIEW BY: .�r — DATE APPROVED: y-f3' -os <br /> BUILDING � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes 1/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes a/ No WATER CONNECTION <br /> • INVESTIGATION FEE Yes No 1,-- PARK FEE <br /> SAC Yes No i/ SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: _.. <br /> Lot Area: Stilt. Acres Width Depth <br /> Survey Submitted: Yes' - No Date of Survey: ¢ec <br /> Proposed Setbacks: <br /> Front(Lake): '75 Right Side: y3 <br /> Rear(Street): 1 SBO` t Left Side: (o Z: <br /> Adjacent Structures: fl-7G1 '70 Wetland: 1001 <br /> Building Height: Def. Hgt. N/4 Peak Hgt. <br /> Lot Coverage: - N <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: StaffApproval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: Nv <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 /> 31 <br />