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CHECK OFF LIST FORE USE NNE CE OF PERMITS <br /> FOR OFFIC <br /> ADDRESS OR LEGAL: yg?O w f3/La���' PID. <br /> DESCRIPTION OF WORK: S ero <br /> ----- ----�_� DATE APPROVED: e -3o -S$ <br /> ZONING REVIEW BY: DATE APPROVED: -30 -4 s ' <br /> BLTLDLNG REVIEW BY: �T . . 0 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> No <br /> Yes ,/ <br /> PERMIT SEWER CONNECTION <br /> PLAN REVIEW Yes _� No <br /> STATE SURCHARGE Yes 1/ No WATER CONNECT I ION <br /> INVESTIGATION FEE Yes No 1/' PARK FEE <br /> Yes Noy Sin. INSPECTION <br /> SAC <br /> Number of SAC Units OTHER (specify) <br /> ZONLNG CHECK LIST Zoning District: <br /> Shoreland District : <br /> Fire Department: <br /> Post Offi : School District: <br /> Lot Area: Sq.ft. <br /> Acres ' idth Depth <br /> Survey Submitted: Yes ,54- <br /> No Date of Survey: 9-22.-c-5-- <br /> Proposed <br /> 2Z-'Proposed Setbacks: 1 , <br /> Front (Lake): Z4. 0 Right Side: / 0 <br /> Rear (Street): i CI 4. Left Side: I <br /> 2t () <br /> Adjacent Structures: 2-0 <br /> t Wetland: A.//.4- <br /> Building <br /> /A'Building Height: Def. Hgt. 0 • k. Peak Hgt. <br /> Avg. Setback: <br /> Bluff Setbac . Lot Coverag=• <br /> Existing Proposed <br /> Hardcover: 0-7 ' <br /> 75-25►' <br /> 250-501 <br /> 500-1000 <br /> Hardcover Vari ce Required: Yes . o Date of Council Approval: <br /> Grading: Staff pproval Date: By Council Approval D•te: <br /> Septic: Staff A proval Date: <br /> Zoning File: ft Reso tion:{; 'Resolution Date: <br /> I <br /> REMARKS house): <br /> / <br /> 26 <br />