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` CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��Sc, c�5c.o A v�, <br /> PID: <br /> DESCRIPTION OF WORK: 14�� �� o n� ��?,t—�b� k�T-c��c� �✓1-Lr t400• <br /> — -----____—__ ______--- _ ------------------------------------------:-------------------- <br /> ZONL�G REV�W BY: C,�� DATEAPPROVED• 3- 2s-��6 <br /> BUII.DING REV�W BY: DAT'E APPROVED: 3 -2-s-� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> pLAN REVIEW Yes � No SE`VER CONNEC"fION <br /> STATE SUR`�IARGE Yes �/ No WATERCONNECITON <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y;;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning Disuict: 1.2 - I C <br /> Fire Department: (1r,.o v+v(� Post Office: t�1 A�Z,v4�tY� School District: W�STO N1�A <br /> Lot Area: Sq.ft. 3`�'> Acres • �1 Width I 2fZt��u��- Depth — <br /> Survey Submitted: Yes C No Date of Survey: <br /> Proposed Setbacks: <br /> Fre�t (Lake): _ I2.► ' t Right Side: 9`�� �' <br /> Reer (Street): Z.-1S" � �' Left Side: S3� � <br /> Adjacen[Structures: q�ctt-c..� Wetland: — <br /> Building Height: Def. Hgt. c9�k . Peak Hgt. o .«• <br /> Lot Coverage: b 1�- <br /> Grading: Staff Approval Date: l�! 1 A By: ' Council Approval Date: — <br /> Septic: Staff Approval Date: /v ( ✓� By: - <br /> Zoning File; # 2.3-Z..o Resolution: # tf0 35 Resolution Date: <br /> Shoreland Dis�ict: �_C 5 <br /> Avg. Setback: U,c�R.��.rvc.c: Bluff Setback: N(� L.ot Coverage: N�i4 <br /> � Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' NO GF(�q� <br /> 500-1000' �J <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house)• <br /> • 26 <br />