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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �3 6 v c r-r E2 rzy �Gq� <br /> PID: ' <br /> DESCRIPTION OF WORK: �¢dQ ,n oN <br /> ------------------------------------- -----------------------------------��---------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: �/-2 3-�Y <br /> BUILDING REVIEW BY.• DATE APPROVED: y-Z3-o�. <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLANREVIEW Yes_/C No SEWER CONNECTION <br /> STATE SURCHARGE Yes_� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: �-�3-o`-( <br /> Proposed Setbacks: <br /> �d (Lake): �p(� Right Side: 2 8� <br /> Re�r (Street): �OS. y Left Side: �-(J� <br /> Adjacent Structures: ��� Wetland: N l� <br /> Building Height: Def. Hgt. Z( � Peak Hgt. 23� <br /> Lot Coverage: �`�° ± <br /> Grading: Staff Approval Date: — By: Coa�ncil Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # – Resolution: # Resolauion Date: <br /> Shoreland District: v�5 <br /> Avg.Setback: c�,k Ry., �,S. Bluff Setback: ��i� Lot Coverage: -��fi .z <br /> � Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' a2 . 32 2S-v� <br /> 250-500' . <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />