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CHECK OFF i.IST FOR ISSUANCE OF PER�.�fITS <br /> FOR OFFICE USE ONLY <br /> ADDRE�SORLEGAL: 35�5 FZc�CJC��C_\� S i- <br /> PID: <br /> DESCR�T'ION OF WORK: �N l�W l2`,S - <br /> ZO.vPti G REVIE`V BY: DATE APPROVED: 6-Z�-c7� <br /> BUILDING REVIEtiV BY: DAT'E APPROVED: L- zo � o` <br /> FEES TO BE CHA.RGED: Misc. Fezs Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIE`�I Yes ,/� No SEtiVER COI�INEC'ITON <br /> STATE SURCHARGE Yes —r� No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC�Units PA�n ����; #3ooZ Z.2_�Z OTHER (specify) <br /> ZONI�tG CI�CK LIST Zoning Districr. <br /> Fire Depar[ment: Post O�ce: School District: <br /> Lot Area: Sq.ft. ZS,3t b .(,1 Acres . 5 8 Widch I o o Dep[h <br /> Survey Submitted: Yes� I�10 Date of Survey: 5 -Z�y-nb <br /> Proposed Setbacks: <br /> Froat (Lake): I Z-7•1 � Right Side: 11.}� <br /> Rear (S[ree[): �3•y Lef[Side: ���32 <br /> Adjacent Structures: n!//a Wetland: /���1 <br /> Buil�lin; HeiUht: Def. Hgt. 2�� Peal:Hgt. 33•5 75�`'10 ot= pr(s�w�a.�:�l �b� , N �n�n�c9 <br /> Lot Coveraje: I I•2Z�� <br /> Grading: Staff Approval Date: ��_�_ By' �ZO�o� Council Approval Date: <br /> Septic: Staff Approval Da[e: /�J/A By: -' <br /> Zoning File: # — Resolutioa: � — Resolution Date: — <br /> Shoreland District: �e S ��Covera�e: � ) , Z Z <br /> Av�. Setback: �.�c Bluff Setback: N I Pr <br /> E�.isting Proposed <br /> Hardcover: 0-75' c� � <br /> 75-250' o �a <br /> 250-SQO' p �.o � <br /> 50a-1000' <br /> Hardcover Variance Required: Yes No �_ Da�e of Council Approval: <br /> RElL4RKS (in house): <br />