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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: - (.9 It)1 AL <br /> PID: <br /> DESCRIPTION OF WORK: ,5-12 le, / i4 - ,Q/t✓ 19efv5;Z <br /> ZONING REVIEW BY: <1 C DATE APPROVED: d/- o 2- <br /> BUILDING <br /> BUILDING REVIEW BY: .44-e- P 3 DATE APPROVED: --132-6-2-> <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes c No SEWER CONNECTION <br /> STATE SURCHARGE Yes \6 No WA LER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes X No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District /`4 <br /> Fire Department: Z- 1— Post Office: a-- School District: C7P nO <br /> Lot Area: Sq.ft. Acres Z.i Width Depth <br /> Survey Submitted: Yes �(, No Date of Survey: /2--�_ <br /> Proposed Setbacks: i <br /> Front (Lake): � Right Side: <br /> Rear (Street): 10 Left Side: 2 <br /> Adjacent Structures: /U //-1 Wetland: l <br /> Building Height: Def. Hgt. (9', . Lt Peak Hgt. 33.5- <br /> Lot <br /> 3.5Lot Coverage: /v (/4- <br /> Grading: <br /> /}Grading: Staff Approval Date: / - Z - 0 Z By: 07/-J • Council Approval Date: <br /> Septic: Staff Approval Date: /U //}- By: <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: 4 <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 />