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CHECK OFF i.IST FOR ISSUANCE OF PERi1�fITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z`i 8 C►q Sc-� P�in�t- iZoA/� <br /> PID: <br /> DESCRIPTION OF WORK: Scrz.EE...� ��cl-4 <br /> ZO.vl�ti G REVIEtiV BY: DAT'E APPROVED: -15 •�� <br /> SUILDING RE'VIEtiV BY: DATE APPROVED: �-i �- o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIE`V Yes ,/ No SE�VER CONNECTION <br /> STATE SURCHARGE Yes —� No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONSi1tG CH�CK LIST Zoning Districr. LIZ-1 G <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. 1�ppo Acres . 32 Width l0 a Dep[h ��/� <br /> Survey Submitted: Yes�� No Date of Survey: <br /> Proposed Setbacks: � <br /> Front (Lake): ';5� ± Righ[Side: 7? <br /> � <br /> Rear (Street): $Z � Left Side: I�•°� <br /> Adjacent Structures: I}T7i4Gl�v'� Wetland: N 1✓} <br /> Builcling Heigh[: Def. Hgt. 0.�- Peal:Hgt. — <br /> Lot Covera�e: 1`�-3 <br /> Grading: Staff Approval Date: ,y� �i../.q,v�_ By: — Council Approval Date: — � <br /> Szptic: Scaff Approval Da[e: ^! ( R BY: � <br /> Zoning File: # c�5-3�3� Resolutioo: # Resolution Date: a-� -��S`9 <br /> Shoreland District: y�PS <br /> Av�. Setback: /v 1.4 Bluff Setback: /J I A L.ot Covera�e: �`{•3 <br /> EListing Proposed <br /> Hardcover: 0-75' N/(� �'�' <br /> 75-250' N� A /`�/� <br /> 2�0-500' � y0•'�- 3Q.� S,�-/3Ss-�. �t. <br /> 500-1000' 2a -,�-•z-c=— <br /> Hardcover Variance Required: Yes pc No Date of Council Approval: "d'�'�S <br /> RE`�L4RKS (in house): <br />