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CHECK OFF LIST FOR ISSUAI�ICE OF PERl�iITS � <br /> FOR OFFICE USE ONLY <br /> A.DDRESSORLEGAL: 2tS5 C��2���� �N� <br /> PID: <br /> DESCRIPTION OF WORK: /V�l,J 2E5. <br /> ZOrNi G REVIEW BY: DATE APPROVED: !n- ��S ,oi <br /> BUILDI�TG REVIEW BY: DATE APPROVED; � � -�5 -ot <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER��IIT Yes ✓ No <br /> PLAN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes i/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOiYING CH�CK LIST Zoning District: R.'�� <br /> Fire Department: lAN6(,4((,� Post O�ce: [.pr.�G lA-��-�= School District: �(l.pd.�J <br /> Lot Area: Sq.ft. � 9 0 � i u �2. Acres `(•3b Width IR12�1.?suu-ti Dep[h <br /> Survey Submitted: Yes ,� No Date of Survey: /�• `t -0 f <br /> Proposed Setbacks: <br /> Front (Lake): I 30•41.� Right Side: 3�•1� <br /> Rear (Street): `'�l?0� fi Left Side: q Y •�$ <br /> Adjacent Structures: ^I l� Wedand: l2� <br /> Building Hei�ht: Def. Hgt. 1 g Peak Hgt. 2's <br /> Lot Coverage: i✓ ��' <br /> Grading: Staff Approval Date: f o - i j -d 1 By: v�--V- Council Approval Date: <br /> Septic: Staff A�proval Date: �O- I S- D 1 By: r�(� <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: N U <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />