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. <br /> � . . <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z� `i S C��4 5� ���-���ti T t��.:��� <br /> PID: <br /> DESCRIPTION OF WORK: !��t:�� l�L 5•� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> - .�-� <br /> ZOiVING REVIEW BY: ^ �� DATE APPROVED: �()� ��- �it�; <br /> BUILDING REVIEW BY: � C.,��v�-- DATE APPROVED: /v z 5- 5� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTTON <br /> STATE SUR`HARG� Yes �/ No WATERCONNECTION <br /> INVESTIGAZ'ION-FEE Yes No � PARK FEE <br /> SAC Y�s No � SITEINSPECTION <br /> Number of SAC Units Cll���r �n�,�� ,��vy�, OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: L/�' (� <br /> Fire Department: iNiw�i�":-� Post Office: /�/kj�;}v�� School District: �����iY�rv+� <br /> Lot Area: Sq.ft. ?i y�{�, 'S' Acres , �? Z Width ��• b� o4c..�c.T Depth 3`�3`1 •7) � a4c;-E <br /> Survey Submitted: Yes �� No Date of Survey: �v �t- �/� <br /> Proposed Setbacks: _� <br /> Front (Lake): � ? 5 � Right Side: (Z 3 � �'�T <br /> Rear (Street): ��' T Left Side: �s�7 5 S <br /> Adjacent Structures: �( (/� Wetland: ti �,� <br /> Building Height: Def. Hgt. Z`� � Peak Hgt. 3`( ' <br /> Lot Coverage: I ( ,`� <br /> Grading: Staff Approval Date: I�i � �� �`�lo By: .v Council Approval Date: --' <br /> Septic: Staff Approval Date: /�%�G� By: <br /> Zoning File: # 2 i 7� Resolution: # Resolution Date: y -�1 `�� <br /> Shoreland Dist:ict: ��� <br /> Avg. Setback: ,_����a,1,n,�� Bluff Setback: n�I � Lot Coverage: i���`��' <br /> Existing Proposed <br /> Hardcover: 0-75' �-(-� `{' � <br /> 75-250' Z�.� 5 <br /> 2so-5oo' "��•3� <br /> soo-i000� °� <br /> Hardcover Variance Required: Yes�_ No Date of Council Approval: g '�1 `�7� <br /> REMARKS (in house): <br /> � 26 <br />