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. � . <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z,2 0� A r3�nr C,a w.� w rA.�., <br /> PID: <br /> DESCRIPTION OF WORK: ��.6cr /tn,o� 310•—� <br /> ZONING REVIEW BY: DATE APPROVED: 5=` -9 9 <br /> BUII..DING REVIEW BY: DATE APPROVED: .�-` -5 g► <br /> FEES TO BE CIiARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes v' No SEWER CONNECT'ION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <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: (L2-�Q <br /> Fire Department: (�Nfo �.�IIGE Post Office: l.o�u Schaol District: (j /Le�.vO <br /> Lot Area: Sq.ft. �v ��s„�Acres -- Width — Depth — <br /> Survey Submitted: Yes� No Date of Survey: p�/ �=�1,,ts, /n•�j•�j <br /> Proposed Setbacks: <br /> Front(Lake): ��S� � Right Side: 1�—O� ± <br /> Reaz(Street): I Z5� t Left Side: !5b� + <br /> Adjacent Structures: /�-rtykc.(-t-cy"� Wetland: �J �14 <br /> Building Height: Def. Hgt. D�(� Peak Hgt. — <br /> Lot Coverage: ��� <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # — Resolution Date: — <br /> Shoreland District: �n <br /> Avg: Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-10�' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�S(in house): <br /> 7 <br />