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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: Z�?� KCU�,y ,�}vc_ <br /> PID: <br /> DESCRIPTION OF WORK: c=U< �4�n r�o� <br /> ZO�IIl�TG REV�`V BY: DATE APPROVED: � -S-47 <br /> BUILDING REVIEW BY: ( DAT'E APPROVED: � -s -S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓" No . <br /> PLAN REVIEW Yes � No SEWER CONNECITON <br /> STATE SUR�HARG� Yes � No WATER CONNECTION <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoni.ng District: �-)f3 <br /> Fire Department: �n�N0 Post Office: w R�-iA 71.4 School District: W�S�'oNk� <br /> Lot Area: Sq.ft. ZZ�Z`1 Acres .SI Width 1 S`� �vC Depth �`18•� `{' �4�1�: <br /> Survey Submitted: Yes�_ No Date of Survey: (b-�- `�g <br /> Proposed Setbacks: <br /> Front (Lake): 9� � � Right Side: <br /> Rear(Street): i °� Left Side: <br /> Adjacent Structures: �Vetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: . <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMA.RI�S (in house): <br /> . 26 <br />