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CHECK OFF LIST FOR ISSUANCE OF PERII�IITS r � <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: 2523 1��t( h � . . <br /> PID: <br /> DESCR�T'ION OF WORK: �c.w�y�C�e QZ.ua-w a�,� l�cAr�o� - <br /> � w� <br /> ZO.�i'G REVITW BY: N~N_ DATE APPROVED: /-/c3 -c�a <br /> . BUII.DI�iG REV�`�BY: N(/F- � � DATE APPROYED; � <br /> FEES TO BE CHARGED:,��A,Ny Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> pI,AN FtEV�W Yes No SEWER CO�fNF;C1'ION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> IIWESTIGATION FEE Yes No P��E <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER(specify) <br /> �__________--------- --------------- <br /> ZO��L`iG CHE.CK LIST Zoning District: (.Q-� �3 �. <br /> � School District: (,v��bN� <br /> Fire Departmeat: �V�w�n�� Post O�ce: (�1�Zf- 1!� . <br /> Lot Area: Sq.ft.No c Acres — � Width '— Depth <br /> Survey Submitted: Yes D� No Date of Survey: 2-Z�- 4'� <br /> Proposed Setbacks: <br /> ,'-�- <br /> Front(Lake): Right Side: � � � . <br /> Rear(Street): Left Side: S fi <br /> Adjacent Structures: Wedand: _ <br /> Building Height: Def. Hgt. Peak Hgt. _ <br /> Lot Coveraae: ' <br /> Gradin;: Staff Approval Date: I-{t� •d� By: � Council Approval Date: � <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: . .� � <br /> Av�. Setbac : N//�- Bluff Setback: �!/�- Lot Coverage: .�J�i4 <br /> . Existmg Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500, �t�.°I 29.3 <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS ('in house): � l�-s s `K�.Prr� s�o v c�a�� �r4�u�s � Na �- `' .F <br /> 7 <br />