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CHECK OFF LIST FOR ISSUANCE OF PERltiiITS <br /> FOR OFFICE USE ONLY <br /> . ADDRESS OR LEGAL: _ �25 q l��ti rt�'� ��'a}s S <br /> PID: <br /> DESCRTPTION OF WORK: �,+;=w ;?�.;� <br /> -----------------------------------���--1 - c•�~----- <br /> ZO��11"iYG REVIE`� BY: � r� <br /> �...c:.-- DATE APPROVED. —I �' <br /> BUII�D .Pi tG REVIEW BY: � . C����c,._ DATE APPROVED: ��� - t -. `i u <br /> _----------------------- -- <br /> FEES TO BE C��ARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No ' <br /> PLAN REVIEW Yes �' No SEWER CONNECITON <br /> STATE SUR`H�RG�. Yes +/ No WATER CO'VNECITON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -- -------------------------- ------ <br /> ZO�tING CHECK LIST zoning Districc: ����- i� <br /> Fire Department: (�,�(��K.`, Post Office: �,v ' ic� School District: L <<„r:ti � <br /> � <br /> I.ot Area: Sq.ft. Acres_ (v;c;`-� � tiVidth 7 l�� `�(�l Depth 1 3' Y� <br /> Survey Submitted: Yes ;�- No Date of Surve (� � � �7� <br /> y: o <br /> Proposed Setbacks: <br /> Front (Lake): . (��� � Right Side: 'S(�-b <br /> Rear(Street): �bu' :t Left Side: 2���5 <br /> Adjacent Structures: N i/� tiVetland: ��3� <br /> Building Height: Def. Hgt. 2"�? Peak Hgt. _3� <br /> Lot Coverage: �lJ 1/3- <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: gy; <br /> Zoning FIle: # "-" Resolution: # -- Resolution Date: ---- � <br /> Shoreland Dis�ict: _ /L,�4 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> • Existing Proposed <br /> Hudcover: 0-75' <br /> 75-250' . <br /> 250-SQO' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�ZARK,S (in house): � <br /> , ' � 26 . <br />