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' . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `�6S r L���Ru �.w�,p �v� <br /> PID: <br /> DESCRIPTION OF WORK: I�V w �t-e.(.� �.., =x�s,—t�.t 6 �.v ,4 �.� <br /> --------------------------------- ----- ---------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: 6—Z3 �o Y <br /> BUILDING REVIEW BY: DATEAPPROVED: G -z 3 ��� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No� SITE INSPECTION <br /> Number of SAC Uni.ts OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST ZOIlUt� D(St!'iCl: R""�'J <br /> Fire Departrnent: Post Office: School District: <br /> Lot A�•ea: Sg.ft. Acres Width Depth <br /> SLu-vey Subn�i.tted: Yes�_ No Date of Sun�ey: �- Z"3 <br /> Pr•oposed Setbacks: <br /> Front(L,ake): Right Side: <br /> Rear(Street): Left Sirle: <br /> Adjaceiit Structieres: Wetla�:d: <br /> Buildi�:g Heig/ir: Def. Hgt. Z ro � Peak Hgt. 3 8� <br /> 't0 Lot Covernge: <br /> 1' y.� <br /> j�O <br /> G�p� Gradirtg: Staff Approval Date: By: Couricil Approval Date: <br /> Septic: Staff Approva!Date: By: <br /> Zonirig File: # l93'z-�� Resolc�tioic:# Resolc�tioiz Date: <br /> Shoreland District: <br /> Avg. Setbnck: Ble�ff SetUack: L.otCover•age: <br /> Existing Proposed <br /> Hnrdcover•: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Re�uired: Yes No Dnte of Council Approval: <br /> REMARKS(in house): <br /> 31 <br />