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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /�/7� C !� r r ;� f�lc< c� <br /> PID: C'g - 17- 23 33 %C' zS <br /> DESCRIPTIONOFWORK: (',�,�S��v�c� ;�. z�� c e c�c � ' c��G ' �` <br /> __��w_ _ � ------—�- --- <br /> -�-- ---------------------------------------------------- <br /> ZOr"1NG REV�W BY: _ �,� ����,�� DATE APPROVED: �a p/ o� <br /> BUII.DI�i 1G REVIE`� BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�I�IIT Yes No <br /> PLA��T REVIEW Yes No SEWER CO�INECI'ION <br /> STAT �SURCHARGE _.=Yes No WATERCONNECTION <br /> _ <br /> INV S'TI-�ATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Z01�1I�G CH�CK LIST zoning Districc: L �- % � <br /> Fire Department: �1��n � Post Office: ������'� School District: Z 7 � <br /> Lot Area: Sq.ft. ±3 2; ��'G Acres Width / 2 5 ' Depth Z S S' <br /> Survey Submitted: Yes � No Date of Survey: �/� `�/'� � <br /> Proposed Se[backs: � <br /> Front (Lake): Z � � Right Side: ��f ' � <br /> Rear (Street): � �' � Left Side: ! �� � <br /> Adjacent Structures: C' � Wetland: N� <br /> Building Height: Def. Hgt. l�J � Peak Hgt. Z � � <br /> Lot Covera�e: �� �� Z �� � t7c <br /> Grading: Staff Approval Date: –" By: CouncIl Approval Date: <br /> Septic: Staff Approval Date: " By: <br /> Zoning File: # — Resolution: # --" Resolution Date: "— <br /> Shoreland District: '� <br /> Avg. Setback: -- Bluff Setback: — L,ot Coverage: � <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' .�7�c 7 � %S > `7e,� S Z!9 'Z I y��) <br /> 500-1000' <br /> Hardcover Variance Required: Yes No �- Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />