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CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Zsbo O u N w o0 <br /> PID: <br /> DES CRIPTION OF W ORK: F�N T �;N T�lhy�►C,p �'u..sw�•dt� <br /> ZO�TG REVIEW BY: DATE APPROVED: -7-z�-o� <br /> BUII�DING REVIE`V BY: DATE APPROVED: �•Z,� - 0 5' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No v PARK FEE <br /> SAC Yes No c/ � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZO�tI�1G CH�CK LIST Zonin; Districc: <br /> Fire Departmen[: Post Office: School District: <br /> Lo[Area: Sq.ft. 22, �yc7 Acres . SL Width /v� Depth Z$3 <br /> Survey Submitted: Yes �c No Date of Survey: Oiu i=�C,G �, ' !a'`��► <br /> Proposed Setbacks: <br /> Front (Lake): �{Z� Right Side: 37� <br /> Rear (Stree[): /'�7� Lef[Side: 31� <br /> Adjacent Structures: AM�ac++-c:'�j �Vetland: �✓1/`} <br /> Building Height: Def. Hgt. Q �!L- Peak Hgt. � <br /> Lot Covera�e: 9• 6�� <br /> Grading: Staff Approval Date: —' By: Council Approval Date: <br /> Septic: Staff Approval Date: ^— By: <br /> Zonin� File: # � Resolution: # Resolution Date: <br /> Shoreland District: v�PS <br /> Av�. Setback: r. /�! Biuff Secback: n/�� L,ot Coverage: �.(,`�'o <br /> ExistinQ Proposed <br /> O <br /> Hardcovec 0-75 <br /> 7�-2�0' <br /> 2�0-�GO' <br /> 50C-1d�' D•K <br /> Hardcover Variance Required: Yes No 7` Date of Council Approval: <br /> RE�IARKS (in house): <br />