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CHECK OFF LTST FOR ISSUANCE OF PERiI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRE�S OR Y,EGAL: _ �Z"t Fc�2�t�p�l� iZ� �N O � <br /> PID: _��- - �i�� - �-� � ,; �., t, �.; `i <br /> DFSCRIPTION OF WORK: _ �cT: ���},���, <br /> - ------------------------------------ <br /> ZO�tG REV]E`� BY: DATE APPROVED: �7-��c-4�, <br /> BUII,DING REVIEti'V BY: DATE APPROVED: _-�_t�-S� <br /> ------------------------ -- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No � <br /> PLAN REVIEW Yes _� No SEWER C0�INECITON <br /> STATE SUR�HARG�. Yes v� No `�ATER CONNECITON <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) -- <br /> --------------------- -------- <br /> ZO�tING CHECK LIST Zoni.ng District: RR• �� <br /> Fire Department: w h�t,t�+cr Post O�ce: w Ay-�,Tyg. School District: o�.o..+� <br /> Lot Area: Sq.ft._ y0�Z�i 5 Acres Z c�"'� `Vidth �Q,I1,�`7>��2 Depch �- <br /> Survey Submitted: Yes�l_ No Date of Survey: �-/S -S� <br /> Proposed Setbacks: <br /> Front (�e): 22.'� � � Right Side: (O� <br /> Rear (S�re�et�: 3cx' � Lefr Side: !.(, � <br /> Adjacent Scructures: 7$� tiVetland: N(I� <br /> Building Heighr. Def. Hgt. O�l� Pe�k Hgt. -- <br /> Lot Coverage: N � /� <br /> Grading: Staff Approval Date: /�f (/i� By: Council Approval Date: <br /> Septic: Staff Approval Date: /J( /� gy; <br /> Zoning File: #_ 2 3�13 Resolution: # o S Resolution Date: '�-�3-g$ <br /> Shoreland Dis�ict: iJ C� <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> � Existin� Proposed <br /> Hardcover: 0-75' <br /> 75-250' . <br /> 250-500' • <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> a <br /> REi1��ARKS (in house): <br /> , • � , 26 . <br />