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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z10 o w ora CA 2c- <br /> PID: <br /> DESCRIPTION OF WORK: C)e ctc <br /> ZONING REVIEW BY: 4J0 <br /> -__— ( DATE APPROVED: 8 2 3 Oy <br /> BUILDING REVIEW BY: O ..,� DATE APPROVED: 6-L3 .01 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes 4!' No SEWER CONNECTION <br /> STATE SURCHARGE Yes 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: R R' <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 4 2,( b-7 Acres 2. Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): tis Right Side: 3S- <br /> Rear <br /> SRear (Street): Left Side: <br /> Adjacent Structures: Ai-riacmc Wetland: N I A <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: '— <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # OV-2.9 7 Z Resolution: # 61114 Resolution Date: Z - <br /> Shoreland District: <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 />