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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 GOO w E5 (c F--Fl CI-76 <br /> PID: <br /> DESCRIPTION OF WORK: poa <br /> ZONING REVIEW BY: ( DATE APPROVED: d•z-4)- <br /> �s <br /> BUILDING REVIEW BY: ((j<t DATE APPROVED: Y- <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 WA 1'ER 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: c..R-i!3 <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 3d f 2, Acres .1 Width 1 asuix v(AA Depth <br /> Survey Submitted: Yes c No Date of Survey: '-(-13.0 3 <br /> Proposed Setbacks: <br /> Ffcnt (Lake): '7'7 ' Right Side: 36' (- <br /> Reer(Street): alai' L Left Side: (0 2' t <br /> Adjacent Structures: Ar7 gcWetland: N/� <br /> Building Height: Def. Hgt. o.lz. Peak Hgt. <br /> IDA wrrw i1t�- poleosrtui <br /> Lot Coverage: <br /> Grading: Staff Approval Date: #✓lc By: Council Approval Date: <br /> Septic: Staff Approval Date: /v0 By: <br /> Zoning File: # 3-29t to Resolution: # Resolution Date: <br /> Shoreland District: \ 'e5 <br /> Avg. Setback: No eivcoulkokivAidt Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' 2.1.3 S <br /> 75-250' 2b.5 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): lk 31 Z ° 1-1-A4,0 Gone, vs e � b. <br /> 7 <br />