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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 O3`d CV�S C.o Pd„�, ,— t2-o.4�0 <br /> PID: � � � -- <br /> DESCRIPTION OF WORK: C�(�Rv�G c`-. A�JY��n c� <br /> -- _�—__ - ------------------------ _ <br /> ZONING REVIEW BY: �,,,_ DATE APPROVED: � 3• Sf� <br /> BUII..DING REV�W BY: DATE APPROVED: c�- 3•f 8 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓' No <br /> pLAN REVIEW Yes ,/' No SEWIIZ CONNECITON <br /> STATE SUR`�IARGE Yes l/ No WATERCONNEC"ITON <br /> INVESTIGATION FEE Yes No Pf1ItK FEE <br /> SAC Y::s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONi.\'G CHECK LIST Zoning District: (�.CZ-�C_ <br /> Fire Department: IM�v�1 Y� Post Office: W A`12�4� School District: t�u�s-r-o�K�`} <br /> Lot Area: Sq.ft. IS,`I t�l.l8 Acres •3b Width I��1� �1�E Depth I 3'1. $? �� <br /> Survey Submitted: Yes�_ No Date of Survey: -I -b � �i.3 <br /> Proposed Setbacks: � <br /> Front (Lake): _ �U� Right Side: (�S ± <br /> — <br /> Rear (Street): �1 3�L Left Side: Z O.5 � -� <br /> Adjacent Structures: /a�'►��H�+'J Wetland: /`r�� <br /> Building Height: Def. Hgt. (�, J� Peak Hgt. — <br /> Lot Coverage: I�{ °7° <br /> Grading: Staff Approval Date: it//�- By: - Council Approval Date: -- <br /> Septic: Staff Approval Date: /�((/�- By: — <br /> Zoni.ng File; # �- Resolution: # -- Resolution Date: — <br /> Shoreland DisL-ict: yP5 <br /> Avg. Setback: nr(I� Bluff Setback: N�r4- Lot Coverage: N//� <br /> � Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' z2. �t Z7°lo <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_� Date of Council Approval: <br /> RENiARKS (in house): <br /> • 26 <br />