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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '����,3 C� -��C�--{i���.-. ���.c�--��k'� <br /> PID: <br /> DESCRIPTION OF WORK: _ �n;'�, n��� <br /> ---------------------------------------- ------ ----------------------------------------------:-------------------- <br /> ZONING REVIEW BY: � �, ��,�,��� DATE APPROVED• � - ( -4 7 <br /> BUILDING REVIEW BY: ;,�,�,�;�., DATE APPROVED: �- � -y�� <br /> ----------------------------------------------- -� -------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes -�' No SEWER CONNECT'ION <br /> STATE SUR`�ARGE Yes �' No WATERCONNECTTON <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y�s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------=---------------------------------------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: (r(�-(/� <br /> Fire Departmenr. yY�;.;:ti�.1 Post Office: ��V(,�,��,��J School District: �,���vw,ti.. <br /> Lot Area: Sq.ft. 3�5��LS Acres �u� Width �ltXt,rGu cq-,� Depth <br /> Survey Submitted: Yes o� No Date of Survey: G�S' `37 <br /> Proposed Setbacks: <br /> F.+�ent (Lake): _ �'�� Right Side: ��� �- <br /> �ear (Street): (aC)�=' Left Side: 3.S �� <br /> Adjacent Structures: ,���t,N-z;� Wetland: �"�'�{r'� <br /> Building Height: Def. Hgt. C-��-- Peak Hgt. �- k <br /> Lot Coverage: �i< <L <br /> Grading: Staff Approval Date: ,�% ��/�- By: Council Approval Date: -- <br /> Septic: Staff Approval Date: /�; 101 By: — <br /> Zoning File: # �2y3 Resolution: # Resolution Date: (� � �3 �� � <br /> Shoreland Disc:ict: T� <br /> Avg. Setback: �,�,,%!,�{,t;� Bluff Setback: A,•��/1 LotCoverage: U.� <br /> Existing Proposed <br /> Hardcover: 0-75' 3 '� � �� <br /> 75-250' �� .?`� Zl �°t 1 <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes � No Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />