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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t t G O Tori KAw A R U An <br /> PID: <br /> DESCRIPTION OF WORK: Me W (2.C,5. <br /> ZONING REVIEW BY: DATE APPROVED: 6 • /3-o S' <br /> BUILDING REVIEW BY: U 9 DATE APPROVED: b-<3—65 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes //' No SEWER CONNECTION <br /> STATE SURCHARGE Yes t/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes t/ 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. b%, 23o Acres 1.4 Width _ Depth <br /> Un <br /> Survey Submitted: Yes X No Date of Survey: S-Z-0-05 \`1 <br /> • \" <br /> Proposed Setbacks: <br /> Front (Lake): 122' '— Right Side: IS. <br /> Rear (Street): 3000 i Left Side: /6. 1 0 <br /> Adjacent Structures: N I A Wetland: AV /A <br /> Building Height: Def. Hgt. 2 Peak Hgt. 3 2 <br /> Lot Coverage: ( % <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: /0i// By: <br /> Zoning File: # . - Resolution: # Resolution Date: <br /> Shoreland District: �1"5Avg. Setback. o - 1c- Bluff Setback: "I/A Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' O <br /> 75-250' L5 70 <br /> 250-500' IO•Z5 $ b <br /> 500-1000' v <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br />