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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: 2`I 9 o C�Sc.o Por�v-� K.oao <br /> PID: <br /> DESCRIPTION OF WORK: �Q� <br /> ZO�TING REV�W BY: DATE APPROVED: 1 -z�-5 ) <br /> BUII.,DING REV�W BY: DATE APPROVED: 7_z Y-5� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes -� No SEWER CONNECTION <br /> STATE SUR:HARCrE Yes ✓ No WATER CONNECTION <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOi�tI1�TG CHECK LIST Zoning District: <br /> (`J�Z Fire Department: Post OfFice: School District: <br /> 1���� <br /> �� t Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: _�.... �i� 2-�S-9 S <br /> Proposed Setbacks: � �t <br /> Front (Lake): . �s + Right Side: I Oo -} <br /> Rear (Street): �� •�. Left Side: �t�` +� <br /> Adjacent Struc[ures: (-��T�9�N-� Wedand: �vJ� <br /> Building Height: Def. Hgt. yl��_ Peak Hgt. <br /> Lot Coverage: U.k <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> 'Zoning File: # Resolution: # Resolution Date: � <br /> i � � � � � � <br /> �Shoreland Dist:ict: . <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> N� � Existing Proposed <br /> Hardcover: 0-75' <br /> ! 75-250' � � <br /> i 250-500' �I 6 0 <br /> � 500-1000' <br /> I� Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> . �, <br /> REMARKS (in house): <br /> 26 <br />