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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 437�t C�S C o i�o� �r T-- R o r�,� <br /> PID: <br /> DESCRIPTION OF WORK: rv�v-� C��Z.,4 c,G � <br /> �___ __--- -- ----------------------------------------------------Z�-------- <br /> ZO�TING REVIEtiV BY: � C� DAT'E APPROVED: 3- --5� <br /> BUILDING REVIEW BY: DATE APPROVED: �- z s -9 E3 <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> pLAN REVIEW Yes � No SEWER CONNEC"ITON <br /> STATE SLTR��IARGE Yes � No WATERCONNECTION <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y;.s No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIlVG CHECK LIST Zoning District: L�- �� <br /> Fire Deparcment: �(Y���N� Post O�ce: W A`(Z A-'J'1� School District: W�.srto Nt�-J� <br /> LotArea: Sq.ft. l�l�(,9(c Acres • 33� Width J/(� � �' Depth /.33 � <br /> Survey Submitted: Yes X No Date of Survey: S- lb -�1(� <br /> Proposed Setbacks: <br /> Front (Lake): _�Or Right Side: �0 � <br /> Rear (Street): � 2` �' Left Side: ,5,S� <br /> Adjacent Structures: �3' Wetland: N�(� <br /> Building Height: Def. Hgt. 0�l� Peak Hgt. C9�`� <br /> Lot Coverage: �•(� <br /> Grading: Staff Approval Date: /�(� By: — Council Approval Date: — <br /> Septic: Staff Approval Date: — By: — <br /> Zoning File; # ZZ�`I Resolution: # 3 43(o Z Resolution Date: 3-Z`f �9 7 <br /> Shoreland Dis�ict: v-PS . <br /> Avg. Setback: r�1 �f� Bluff Setback: N« I.ot Coverage: — <br /> � Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' 23.'�8� ��j °7 0 <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No � Date of Council Approval: <br /> REMARKS(in house): <br /> • 26 <br />