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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 10 43 S W 1 u..rx.A..> v c t uJ OR <br /> PID: <br /> DESCRIPTION OF WORK: BeYV\ <br /> ZONING REVIEW BY: DATE APPROVED: J/-1 ' <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: r ' i sc'. Fee Calculated ByC.0 IA <5-60 c-a-G Y` f <br /> PERMIT Yes • ➢C No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WA LER 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 pc No Date of Survey: '2 - t Z--0 I <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: Q6/24r1 k '- `64/ <br /> L1 e A- "d D wn 141A5 wu-si�.J <br /> Rear (Street): Left Side: <br /> �iLo - tiv/ <br /> Adjacent Structures: Wetland: Assoc.,✓� ^�`hA 241 s D_A <br /> 62,59-4A, 11-rinalel <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: I I- -02- By: d-0- Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: Nv <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 />