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"'' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '3 vp �31 C� �s �c�.iv� <br /> PID: <br /> DESCRIPTION OF WORK: SW�; {p �t, x z�( <br /> --------------------------------------- -------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 2 -2-5—0 2 <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,� No <br /> PLAN REVIEW Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes �� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: GZ -S <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: 2- 4 - Q 5' <br /> Proposed Setbacks: <br /> F�eai (Lake): ���_ Right Side: 1 u ' <br /> R�ea� (Street): �2' Left Side: Z`'� <br /> Adjacent Structures: � 0 7 � Wetland: /V �A <br /> Building Height: Def. Hgt. (�.IZ Peak Hgt. <br /> Lot Coverage: p •1C �yo �.3gy� �,Ib`1 < i S"�U �.�k <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Sep�ic: Staff Approval Date: '—' By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y,PS <br /> Avg. Setback: �j.l� Bluff Setback: N��- L,ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' d-(,C <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />