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I C�CK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��t S �= o cz.�.�� Az� 5 <br /> PID: <br /> DESCRIPTION OF WORK: ��p i;�� r� <br /> ZO�t�tG REVIE`V BY: �_ Nh^ DATE APPROVED: /- S -o t5 <br /> BUILDING REVIE`V BY: DATE APPROVED: ( - S-- D� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes No SEWER CONNEC'ITON <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No —� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZO��tG CH�CK LIST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> L.ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: 1 - 3� t> � <br /> Proposed Setbacks: � � <br /> Froat (Lake): �= Right Side: �10 '—' <br /> Rear (Street): 35 t Left Side: � t � � <br /> Adjacent Structures: N I�WZ- Wetland: /t/��- <br /> Buildin; Hei�ht: Def. Hgt. C9•��- Peal:Hgt. '�' <br /> Lot Covera�e: U 1� 7.6�o <br /> Grading: Staff Approval Date: �-S-�'� By: /X Council Approval Date: <br /> Septic: Staff Approval Date: /�1 I/-1 By: <br /> Zoaing File: # — Resolution: # Resolution Date: <br /> Shoreland District: N�5 <br /> Av�. Setback: �•t�- Bluff Setback: � �✓a- L.ot Coverage: '�•b <br /> EustinQ Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' Z � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> RE1��L4RKS (in house): <br /> 7 <br />