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� �5�� � <br /> ' � � � <br /> �����!'�' ,�- <br /> CHECK OFF LIST FOR ISSU.9.NCE OF PERMITS ,�Q� � <br /> FOR OFFICE USE ONL�' ��� �� <br /> ADDRESS OR LEGAL: �6�0 �'�i� 1 �r�� � <br /> PID: <br /> DESCRIPTION OF WORK: /h-C��irr ,pod <br /> ZONING REVIEW BY.• DATEAPPROitED�� ( i d � <br /> BUILDINGRE[�IEWBY: DATEAPPROVED: �D-tS-� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: �� �_______w___ <br /> PERMIT Fes � No <br /> PLAN REVIEW Yes ✓ No SEYi'ER CON.�VECTION <br /> STATE SURCH.ARGE Yes � No WATER CON�VECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �� SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> �---��------�-��-�------��- <br /> ZONING CHECK LIST Zonirrg�istrict: <br /> Fire Department: Post O�ce: School District: <br /> r ��` i <br /> Lot Area: Sg ft. ,4cres J� GG'idth �f(� Q � Depth "TTo7 <br /> Survey Submitted: Yes � No Date of Survey: ��' ! "Q� <br /> Proposed Setbacks: ��S�h� <br /> Front (Lake): Right Side: ('j� <br /> Rear{.St►:eat): � ;j Z � Left Side: Q� <br /> �� i <br /> Adjacent Structures: -��K ,` Wetland: IIG <br /> Building Height: Def. Hgt. QJ�. Peak Hgt. <br /> Lot Cover�age nA <br /> Grading: Staff,9pproval Date: Bv: Council Approval Date: <br /> Septic: Staff.4pproval Date: �C '1 S '(7� By: � <br /> Zoning File: � Resolution: # Resolution Date: <br /> Shoreland District: � �/a�pC�1��f�.�C �1ClGD Permit: <br /> Avg. Setback: BlzrffSetback: LotCoverage: <br /> Fxisting Proposed <br /> Hardcover: 0-'.i' <br /> � <br /> 350-.i 00' Lrt!!/n �' o�/�5%p <br /> .i 00-1000' <br /> Hardcove�• f ariance Requi�•ed: 3'es �Vo� Date of Council,4pproval: <br /> REM.4RIiS(in house): ���.¢� /m�j- �0��/ <br /> �l�C S�c�ne �s Crcu.� L�r�a�t�! �n� A��c� �hn S�n,y�h's <br /> �'�to • CO c,�►-S �, '3 ��,�.�,�.� <br />