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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l 3 S Z Q AC.�v 2 P A21c S�A� - <br /> PID: <br /> DESCRIPTION OF WORK: �V L w fZ.c.S <br /> ZONING REVIEW BY: ,.,� DATE APPROVED: � . � -ov <br /> BUILDING REVIEW BY: DATE APPROVED: G -c -�� <br /> �EES TO BE CHARGED: tilisc. Fees Calculated By: <br /> PERMIT Yes ✓ ti o <br /> PLAN REVIEW Yes �' No SEWER CONNECITON <br /> STATE SURCHARGE Yes � ti o WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units C2��r r2�� v��w OTHER (specify) <br /> 'LONING CHECK LIST Zoning District: �.�- 1 C- <br /> Fire Department: �(�d�l(.�s Post Office: Wrq`1?�A�!-�4 School District: O Ron�'a <br /> Lot Area: Sq.ft. 3l.�� b Acres .-73 Width 11Zfu..� ��� Depth �" <br /> Survey Submitted: Yes p� No Date of Survey: � ' �� " �a <br /> Proposed Setbacks: <br /> Frent (Lake): 1 5 Right Side: ?�J•3 �=. <br /> t...A�u.•` � <br /> Rear-{�trcet): S Left Sidz: )'�. S ( �J <br /> Adjacent Structures: N�✓� �'etland: N 1/! <br /> Building Height: Def. Hgt. I�7 Peak Hgt. Z�, 5 <br /> Lot Coverage: ( I. � <br /> Grading: Staff Approval Date: t, -(,-o� By: � "(:ouncil Approval Date: �j-Z I -°o <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 255`7 Resolution: # Resolution Date: �/- ZI• C7v <br /> Shoreland District: �.ps <br /> Avg. Setback: p. I� Bluff Setback: �//� L.otCoverage: � �. � <br /> Existing Proposed <br /> Hardcover: 0-75' Nu�� 0°�a 5�71� (,.9 <br /> 75-250' 3`1•2- <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o� tio Date of Council Appro�-al: N• Lt -o� <br /> REMARKS (in house): <br /> 27 <br />