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-CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: )C d _ . <br /> PID: <br /> ----- <br /> DESCRIPTION O-F WORK:--- 0---OArT o,v % �c�z <br /> ZON NG REVIEW BY: lidta, wDATE A <br /> PPROVED: (71 I. L i` M <br /> BUILDING REVIEW BY: :.1.3,256, C --- <br /> DATE APPROVED: 9-/-7 -a"? • . <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIVLIT Yes 1.Z No <br /> PLAN REVIEW . Yes r/ No SEWER CONNECTION <br /> �/ No WATERCONNECTION <br /> STATE SURCHARGE Yes f PARK FEE <br /> Yes <br /> INVESTIGATION FEE Yes No No SITEINSPECTION <br /> SAC <br /> Number of SAC.Units OTHER (specify) <br /> ZONING CIECK LIST Zoning District: — <br /> Post Office: School District: <br /> Fire Department: • <br /> Acres • Width Depth <br /> Lot Area: Sq.ft. • WA(01 CI <br /> Survey Submitted: Yes <br /> No Date of Survey: `,I I "1 0-1 <br /> • <br /> r <br /> Proposed Setbacks: A,.5 it Side: <br /> . . <br /> Front(Lake): __________ , <br /> Rear( tre ): ILl0 L Side: 7 <br /> At3cent CrnSCtUreS: <br /> Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: e1) <br /> �Iril <br /> 04,0 <br /> By�& Council Pip FFo-- ,p ate: CIA()/077 <br /> Grading: Staff Approval Date: I �V� <br /> Septic: Staff Approval Date: //P By: 0 (_ <br /> Resolution Date: yr iiI o7 r'e�x yt �r /6/� <br /> Zoning File: Resolution: n___-- <br /> Shoreland District: K// LotCove2ge; 1044Avg. SetbacK: Bluff Setback: <br /> Existing Proposed <br /> Hardcover: <br /> Hatdco,eC: G i5 + SC' � � a <br /> — <br /> 75-250' �rrl!J�i0 <br /> '2Zgl <br /> U <br /> �� <br /> 2z3-5c <br /> 500-:ov,'.+c <br /> �. 7.2)::.:eCom_.. .,._ : (9111 /0 -7 <br /> rz.ance ..e; Yes <br /> P.7 MARKS (Ln hose): <br />