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, CHECK OF'F' LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �3 cx: �=��.. s� <br /> PID: <br /> DESCRIPTION OF��ORK: f���,�-r,;r L�^,�,� <br /> -- ---------------------------------------------�------------ <br /> ZO��TG REV�W BY: � J � '��„�,� DATE APPROVED: � � �,� <br /> BUII.DING REV�W BY: ' �; DA'I'E APPROVED: �. �1 -�r�; <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes :� No <br /> PLAN REVIEW Yes � No SEtiVER CO�INECTION <br /> STATE SUR`HARG� Yes ,/ No WATERCONNECTION <br /> INVESTIGA'I'ION FEE Yes No PARK FEE <br /> SAC Y:;s No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONI�IG CHECK LIST zoning Districc: ���: 'I(� <br /> Fire Department: �--�- Post O�ce: L•�-- School District: (tl'�c^iU� <br /> Lot Area: Sq.ft. �t.'�� � /f/frv�;,z'Acres Width Depth <br /> Survey Submitted: Yes �x. No Date of Survey: 4� �-�-- �'7 <br /> Proposed Setbacks: <br /> Front (Lake): _ Zi�S � Right Side: S�� � <br /> Rear (Street): "�-7��. � Left Side: `�� <br /> t- <br /> Adjacent Struccures: ,,¢;-��r�7� Wetland: /�' %�� <br /> Buildin�Height: Def. Hgt. c� (C Peak Hgt. � <br /> Lot Coverage: /�=l/� <br /> Grading: Staff Approval Date: /� �°� By: Council Approval Date: <br /> Septic: Staff Approval Date: .'� (� By: <br /> Zoni.ng File; # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: frVc�' <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Eziscing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIAIEtti�S (in house): <br /> � 26 <br />