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CHECK OFF LIST FOR ISSUANCE OF PERiv1ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 g 3 d C Nl s� �Po��..r� 1�+q-� <br /> PID: <br /> DESCRIPTION OF WORK: �t%Glc <br /> ZO�TING REVIEW BY: DATE APPROVED:l�- !- 03 <br /> BUII.DING REVIEW BY: __ _ DATE APPROVED: t o- � -a 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pLAI�1 REVIEW Yes ,� No SEWER CONNECITON <br /> STATE SURCHARGE Yes � No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------ <br /> ZOti`ING CHECK LIST Zoning District: l.2-�C. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. � 'S,i s'Ce Acres . 3�-t � Width 9 d• n 4s Depth <br /> Survey Submitted: Yes_� No Date of Survey: (v"`� "3 <br /> Proposed Setbacks: r <br /> Front (Lake): � 3 •5 � Right Side: (�(-5 <br /> Re.ar (S[reet): �b.� Left Side: ��-b <br /> Adjacent Structures: A-�"�C.G-Q•� Wetland: �! 6/�-- <br /> BuildinJ Hei;ht: Def. Hgt. N (f� Peal:Hgt. <br /> Lot Covera�e: � �{. (o <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # 3-2a y`'I Resolution: # Resolution Date: S' • Z-�`a j . . <br /> Shoreland District: �!S <br /> Av�. Setback: V�lc Bluff Setback: ��/� L.ot Coverage: / y-� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' �{g-� y 6 •`�l <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): , - <br /> 7 <br />