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CHECK OFF LIST FOR ISSUA1�tCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z-1 ti�j �T-t-��A L A�l G <br /> PID: <br /> DESCRIPTIQN OF WORK: �pt-�C�1� 6�ARAGL <br /> ZO�iG REV�W BY: ,,._ DATE APPROVED: �' -z3 -oy <br /> BUII.DI�1G REV�tiV BY: DATE APPROVED: 53 •z 3 ��y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERi�IIT Yes _/� No <br /> PLAl�t REVIEW Yes ✓ No SEWF�CONNECTION <br /> STATE SURCHARGE Yes �/ No WAT�ERCOivNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�G CHE.CK LIST zonino District: <br /> Fire Department: Post Office: School District: <br /> L,ot Area: Sq.ft. � 3� Acres I 5,O o O Widch t O c� Dep[h �S� <br /> Survey Submitted: Yes� No Date of Survey: �'3'��1 <br /> Proposed Setbacks: <br /> Front (Lake): `�0 Right Side: Z�` <br /> Rear (Street): 3v Left Side: �-(y• � <br /> Adjacent Struc[ures: (o' �Vetland: �(� <br /> Building Hei;h[: Def. H�t. �•� Peak Hot. <br /> Loc Coverage: I� 0 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Segtic: S[aff Approval Date: — By: <br /> Zoning File: � — Resolution: 1# Resolutioa Date: <br /> Shoreland District: �QS <br /> Avg. Setbac : �v��4 Bluff Secback: ��A L.ot Coverage: ,� <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' I 4•4`� <br /> 500-1Od0' 3j•S"o <br /> Hardcover Variance Required: Yes No�_ Date of Councii Approval: <br /> REMA.RKS (in house): <br /> 7 <br />