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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> • ADDRESS OR LEGAL: S�O ��t 6 �s��AN� <br /> PID: <br /> DES CRIPTION OF WORK: ^�o�1�-�- ,q,�,,o �.H-c�e� Bu�1 c���+5 <br /> ZO.�tI�1i G REV�W BY: DATE APPROVED: ��i--o S <br /> BUILDTi`G REVIE`V BY: DATE APPROVED: � �-os <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes _� No SEWF.R COIVi�tECTION <br /> STATE SURCHARGE Yes r/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No c/' PARK FEE <br /> SAC Yes No �_ SITEINSPECTION <br /> Number of SAC Units �T�. OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONI�G CH�CK LIST Zoning Districr. RS <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. y0 S,,b7(� Acres �•3 Widch Dep[h <br /> Survey Submitted: Yes _�_ No Date of Survey: Z—I � fl�{ <br /> Proposed Setbacks: <br /> F�e�t (Lake): /Yd�� Right Side: (0 �v � } <br /> (,.A K.d <br /> Rear (�ee�): /7 j Left Side: N! � <br /> Adjacent Structures: ;301 � Wetland: Zov� f' <br /> Buildin; Hei�ht: Def. Hgt. O•� Peal:Hgt. <br /> Lot Covera�e: /V//a- <br /> Grading: Staff Approval Date: n/ /� By: Council Approval Date: <br /> Septic: Staff Approval Date: �'�—�S By: (/U•(s• <br /> Zoning File: # oj'31 i b Resolution: # Resolution Da[e: <br /> Shoreland District: -� <br /> Av�. Setbac : /vi/� Bluff Setback: �t///� Lot Covera�e: �►///� <br /> Ezistin� Proposed <br /> Hardcover: 0-75 <br /> 7�-250' <br /> 2�0-500' 0.� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No a- Date of Council Approval: <br /> REI�IARKS (in house): <br /> � <br />