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- CHECK OFF LIST FOR ISSUAi�tCE OF PERiI�IITS <br /> FOR OFFICE USE ONLY <br /> _ ADDRESS OR LEGAL: �b C� sOv�� 3�?�N IZ�A-✓� <br /> PID: <br /> DESCRIPTION OF WORK: A r�� � n�..c � ,=' (J o av+-.�R <br /> ZO.�tP1i G REV�`V BY: DATE APPROVED: /r- z5 -oS <br /> BUILDI�'G REVIE`V BY: DATE APPROVED: 1,_ 2�, -oS <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,�/ No <br /> PLAN REVIEW Yes �/ No SEWER CONiVECTION <br /> STATE SURCHARGE Yes � No `VATER CONNECTION <br /> INVESTIGATION FEE Yes No / PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ZO�G CH�CK LYST Zoning Distric[: (Lt2• I�(S <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sc.ft. 3°�,S o� Acres .� Width 355• `a Depth <br /> Survey Submitted: Yes _ �c No Date of Survey: <br /> Proposed Setbacks: �` f <br /> F�ee�-(Lake)� ' -� _ Right Side: / Sa � � <br /> Rear (Street): �UO� "r Left Side: I 3`�� �' <br /> Adjacent Structures: iv l,/�- `Vetland: �tJ/ q- <br /> Building Height: Def. �-igt. /v0 u-1,4r�_�c Pealc Hgt. <br /> d' <br /> Lo[ �overa�e: nr� c,µ�,Q <br /> Grading: Staff Approval Date: nro ���,q,.,� By: Council Approval Date: <br /> Septic: S[aff Approval Date: N� G,-i-,,,,�,�� By: <br /> Zoning File: � DS'3)►o Resolution: # Resolution Dace: b-27• d5 <br /> Shoreland Distric[: U QS <br /> Avg. Setback Bluff Setback: �/l✓� Lot Coverage: N� GGh9��',�P <br /> Eustin� Proposed <br /> Hardcover: 0-7�' No G1�Q <br /> 7�-2�0' <br /> 2�0-500' <br /> �0a-1040' <br /> Hardcover Variance Required: Yes ivo oC Date of Council Approval: 6�z�•v� <br /> �i��t�S (an hotise): <br /> 7 <br />