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� <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ! 5�l a �'o� sr2t`r <br /> PID: <br /> DESCRIPTION OF WORK: /�o� i�o�► — ►MA's�z:�2 s�, _ <br /> ------------------------------------- --------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: DATE APPROVED: s-rL o� , <br /> BUILDING REVIEW BY: DATE APPROVED: s • �Z - �'� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ 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 Units OTHER (specify) <br /> --------------------------------------------------�--------------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ✓ No Date of Survey: � L-5 - -�i 5 �� 1=���� <br /> Proposed Setbacks: <br /> Front (Lake): �70 � � Right Side: `i0o� � <br /> Rear (Street): �>> � } Left Side: `t g <br /> Adjacent Structures: — Wetland: ~ <br /> Building Height: Def. Hgt. (�.�C. Peak Hgt. <br /> Lot Coverage: eJ /�' <br /> Grading: Staff Approval Date: es .1.� By: Council Approval Date: <br /> �" Septir. Staff Approval Date: —' By: <br /> Zonin;File: # �' Resolution: # Resolution Date: <br /> Shoreland District: �a <br /> Avg. Setback: Bluff Setback: L o t C o v e r a g e : <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): �'�r r � � <br />