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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2.71 o wH ,Th 005,x. c R. <br /> PID: <br /> DESCRIPTION OF WORK: SNm <br /> ZONING REVIEW BY: c CQ,v�-_ DATE APPROVED: -1 -0 3 <br /> BUILDLNG REVIEW BY: *q S(11x,,,,,,,.__ DATE APPROVED: j-- -0 3 <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'Blt 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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No �c Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): 7 5 -- Right Side: 1 '�5' 1- <br /> Rear(Street): ? S ' -} Left Side: lid f <br /> Adjacent Structures: b'tl } Wetland: <br /> Building Height: Def. Hgt. f9, le- Peak Hgt. <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: AICA <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 />