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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1'3 do� �(�'(.��� �i <br /> PID: ' <br /> DESCRIPTION OF WORK: ��+ �� �� r.�1$�� <br /> ZONING REVIEW BY: DATE APPROVED: /�,•��-`I� , <br /> BITII.DING REVIEW BY: DATE APPROVED: `Z- .��S 6 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> PLAN REVIEW Yes �O' No SEWER CONNECTION <br /> STATE SUR��iAKC� Yes � No WATER CONNECTION <br /> INVESTIGATION-�EE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION - <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECB LIST Zoning District: ��� o� � M M ������ <br /> Fire Department: �l�a�,r� L� Post Office: � �'�9� School District: �'j C��� <br /> , <br /> Lot Area: Sq.ft. `�,c�� Acres � �� Width �� Depth `��-`� �' <br /> Survey Submitted: Yes� No Date of Survey:. ��-�,��'� � ' <br /> Proposed Setbacks: <br /> Front(Lake): �Dp Right Side: ��° , <br /> Rear(Street): ��_ Left Side: ��� • <br /> Adjacent Structures: 3 P Wetland: nl 0� <br /> Building Height: Def. Hgt. �C9-� Peak Hgt. �•�� <br /> Lot Coverage: �-i�- p� l�v <br /> Grading: Staff Approval Date: /+-� d a/�— By: Council Approval Date: <br /> Septic: Staff Approval Date: � � � By: � <br /> Zoning File: # `Z 19� Resolution: # Resolution Date: 1 f Z�' �(� ', <br /> Shoreland Dis�ict: _T,Q�� <br /> Avg. Setback: /z,r�'d- Bluff Setback: ��%� LotCoverage: /idr�'� <br /> � Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> • 250-500' � <br /> 500-1000' Z .Zc� ��-z.+� <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�ZARIZS(in house): <br /> • 26 <br />