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v CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: I Oys w► ow +J2 S <br /> PID: <br /> DESCRIPTION OF WORK: 17 LLK s <br /> ZONING REVIEW BY.• DATE APPROVED: _a--3 -ay <br /> BUILDING REVIEWBY. DATE APPROVED: g-3 ,oy <br /> 10 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLANREVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNEC17ON <br /> INVESTTGAT70N FEE Yes No ✓ PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECKLIST Zoning District: it <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres 2.2 Width Z 60 t a? (AW Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> F.�t (Lake): Lf Right Side: 9 3 <br /> Rear (Street): 90 Left Side: i O y <br /> Adjacent Structures: Ar,K cZG,J Weiland.- <br /> Building <br /> etland.Building Height: Def. Hgt. — Peak Hgt. <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # O`1-30 3 O Resolution: # Resolution Date: -7- 7-c-oY <br /> Shoreland District: -t-PS <br /> Avg.Setback: 0.te- Bluff Setback: -✓(/I = Lot Coverage: — <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' g.7 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes A No Date of Council Approval: <br /> REAIARKS(in house): <br /> 32 <br />