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f ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 35 35 s�c V P cA C� <br /> PID: <br /> DESCRIPTION OF WORK; , d o t <br /> ------_--_ ------- - -_---------_____---__�--�_---------------------------------- <br /> ZONI�i iG REVIEW BY: � � DATE APPROVED: t 0 - 44 -�i g <br /> BUII.DING REVIEW BY: DATE APPROVED: ��-$-S q <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c� No <br /> PLAN REVIEW Yes �- No SEWER COrfNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECS LIST zoning District: G�• JG <br /> Fire Department: W(,b�NQ Post O�ce: W q.��� School District: p2cnrn <br /> Lot Area: Sq.ft. v �/rNv Acres Width Depth <br /> Survey Submitted: Yes o�. No Date of Survey: pK �1'� � I 2•��-��{ <br /> � Proposed Setbacks: <br /> Front (Lake): 7 5�' '�' Right Side: '7 3� + <br /> Rear(Street): Z.2b� � Left Side: I(` r <br /> Adjacent Structures: �5 � �- Wedand: N//� <br /> Building Height: Def. Hgt. N /�'�- Peak Hgt. — <br /> Lot Coverage: 0. �� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: N �/}. By: <br /> Zoning File: # — Resolution: # -- Resolution Date: <br /> Shoreland District: y P7 <br /> Avg. Setback. (9•K- Bluff Setback: ^J(/.l- LotCoverage: D.jC <br /> Eusting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' �.�� <br /> . 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No r� Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />