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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 9$5 W vDrz <br /> PID: <br /> DESCRIPTION OF WORK: ,j <br /> ZO,NPi TG REVIEW BY: cPQ, DATE APPROVED: 5; z^� _c K <br /> BUILDING REVIEW BY: 0 ( DATE APPROVED: s-z K <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres 1.53 Width Depth <br /> Survey Submitted: Yes ✓ No Date of Survey: c-/-Z( 01 <br /> Proposed Setbacks: <br /> Front(Lake): i p 9 Right Side: Yom.5— <br /> Rear <br /> Rear (Street): yp Left Side: (o 6 <br /> Adjacent Structures: iv het Wetland: 4/0 <br /> Building Height: Def. Hgt. 3 u Peak Hgt. 3(( <br /> Lot Coverage: 41.310pied so el-eloper a,J 641..E6 G <br /> Grading: Staff Approval Date: S-2S -°1 By: I o. Council Approval Date: <br /> Septic: Staff Approval Date: N 14 By: <br /> Zoning File: # ._ Resolution: # Resolution Date: <br /> Shoreland District: pV 0 <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 />