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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 15�1� (�,N C,O�Z�J l� <br /> PID: <br /> DESCRIPTION OF WORK: Z� S T�(U� _ A 2�-�A L Ya-�(� t Tt o rJ <br /> ZONING REVIEW BY: DATE APPROVED: 3 -�c� - �i 43 <br /> BUILDING REVIEW BY: DATE APPROVED: 3 - i�- 5 f3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f 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: G.R-�/� <br /> Fire Department: W�,���vdj Post Office: School District: �,.�E S't�tv�.� <br /> Lot Area: Sq.ft. I I,2s�J Acres . ZS Width �5 � Depth !SO� <br /> Survey Submitted: Yes � No Date of Survey: �1•Z�-��{ (pN �_�c.E� <br /> Proposed Setbacks: <br /> Front (Lake): I Ob� ± Right Side: 3�� �' <br /> Rear (Street): �'�� '-' Left Side: Z`l� ± <br /> Adjacent Structures: A�-rv�c.ctc,�/L Wetland: N��4 <br /> Building Height: Def. Hgt. 0•l� Peak Hgt. C�,f� <br /> Lot Coverage: �U G H AN lot= <br /> Grading: Staff Approval Date: N �(1 By: — Council Approval Date: — <br /> Septic: Staff Approval Date: G� (✓} By: — <br /> Zoning File: # N t� Resolution: # — Resolution Date: ' <br /> Shoreland District: y�S <br /> Avg. Setback: C�•I� Bluff Setback: �l(,A L.otCoverage: !Yp C l�(�t►'nGc,r <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' �� G(�� `s <br /> Zso-soo� 5 <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />