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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 8 S 0 W C.-LO(,3 YU 0- <br /> PID: <br /> DESCRIPTION OF WORK: N C S <br /> ZONING REVIEW BY: 0 DATE APPROVED: (9. 21-- <br /> BUILDING <br /> 1-BUILDING REVIEW BY: • (A0 .. _ DATE APPROVED: - 2.3- g g <br /> ---- ------ - ----- _------- _r_� <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 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: a 2- <br /> Fire Department: Co/v(5 (A Ic&' Post Office: (jN j (A' t School District: 0,1143,1/4.)0 <br /> Lot Area: Sq.ft. 2/3 ) Acres 00,--42$ .0S Width 316. C Depth /13-7.,c, <br /> Survey Submitted: Yes o. No Date of Survey: CO 5 -49 <br /> Proposed Setbacks: <br /> From(Lake): Z40 t Right Side: 9'3 <br /> Rear (Street): 2 10' f Left Side: 101• <br /> Adjacent Structures: A-) /(4- Wetland: /(GO <br /> Building Height: Def. Hgt. ZZ Peak Hgt. -‹ <br /> Lot Coverage: /•.1 I// <br /> Grading: Staff Approval Date: (.•23-`I By: (PO. Council Approval Date: <br /> Septic: Staff Approval Date: l9 Z S6 4 r By: dri0'- <br /> Zoning <br /> Zoning File: # -- Resolution: # Resolution Date: <br /> Shoreland District: Yt{5 <br /> Avg. Setback: 0.1e 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 pt Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />