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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � � FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 3y`�i� �'��'(Si�� t`Z��W <br /> PID: <br /> DFSCRIPTION OF ti�ORK: 'i�.������ _�-Z�'.-tr� �.���v�a L� ��+-:2.,��� �.,-, ���.5��,,,�� <br /> -- ____ ----------------- , <br /> ��'� --------------------------------------- �c..(� <br /> ZO�tG REV�W BY: � i�, �y�,� DATE APPROVED: f� 2-Z-�8 L�x 3,5 <br /> BUII,DING REVIEW BY: ' `' DATE APPROVED: [� z 2-��� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �� No SEWER CONNECITON <br /> STATE SUR�HARG� Yes � No WATERCONNECITON <br /> INVESTIGAZ'ION FEE Yes No PARK FEE <br /> SAC Y;;s No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> Z0��1G CHECK LIST Zoning District: �Z��-I�� <br /> Fire Department: - Post Office: ��• t'�'1-i/�-t, School District: �:;(',x;ti;�- <br /> Lot Area: Sq.ft.�-�������7� Acres �j�3 Width Depth <br /> Survey Submitted: Yes ,n No Date of Survey: (�r� <<��e: i �� 7- � 7 <br /> Proposed Setbacks: � <br /> Front (Lake): _ L`�v �- Right Side: (;Z � �= <br /> _ � <br /> Rear (Street): 2 u'> � Left Side: ZZ `l <br /> Adjacent Struc[ures: ��� � Wetland: /Lf <<'1- <br /> Building Heieht: Def. H�t. <":i. k Peak Hgt. <br /> Lot Coverage: � �� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: r By: <br /> Zoning FIle; # � Resolution: # Resolution Date: <br /> Shoreland DisL-ict: y �'� - <br /> Avg. Setback �f/��- Bluff Setback: N�%? L,ot Covera�e: /`J/�� <br /> � Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' 6 U�� L f�'ti� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REi�ZARbS (in house): <br /> • 26 <br />