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CHECK OFF i�IST FOR ISSUANCE OF �ERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l t�c� S [�in►�cN LA�v� <br /> PID: <br /> DESCRIP'1'TON OF WORK: ec�•s ►L�3 ..� Rti.,, - + s,—�nr � , u�J <br /> - ----------------- - ------ ------------------------------------------------------------- <br /> ZO�.VNi G REVIEW BY: DATE APPROVED: '�!- /3-v6 <br /> BUILDING REVIEW BY: � DATE APPROVED; �-/3 -o�L � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW � � Yes ✓ No SEWER CO�]NECITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No f� PARK FEE <br /> SAC Yes No �/ SITEINSPECTION <br /> Number of SAC�Units � �� �� /g�l OTHER (specify) <br /> -----------------------------------_���_ R- 1 <br /> ZONIIIG CHE.CK LIST Zoning Districc: �> � . <br /> Fire Department: Post Office: School District: � <br /> (,4[' SffW� <br /> L,ot Area: Sq.ft. I�-1,o�") Acres •32 Width b� � �S � Depth <br /> Survey Submitted: Yes�,C_ No Date of Survey: 1• 2 5 -�S <br /> Proposed Setbacks: . . <br /> Froat(Lake): 4►-( Right Side: �1 o-"b . <br /> Rear(Street): 2�D � t Left Side: 9•`� <br /> Adjacent Structures: N 1 A Wetlaad: N �r°► <br /> Buildin; Height: Def. Hgt. Zo• 5 Peak Hgt. 2 b <br /> Lot Coveraae: I`i•5 <br /> Grading: Staff Approvat Date: y- ��• Ob By: T K-- Council Approval Date: _ — _ ' <br /> Septic: Staff Approval Date: N I A BY� <br /> Zonsn� File: !#�.S-3�Z3 Resolution: # 535Z Resolution Date: �_' ��'o S <br /> Shoreland District: �E5 <br /> Avg. Setback: �/i4R.�J�r�rC� Bluff Setback: /J (/� I.otCoven;e: f`�l• S <br /> Eustin� Proposed <br /> a <br /> Hardcover: 0-75' 17 � �' <br /> ?5-Z50' S�•V_ `�3•$ <br /> 250-500' S 7 `�5 <br /> 500-1000' <br /> Hazdcover Variance Required: Yes�_ No Dace of Council Approval: <br /> REl�L4RKS (in house): <br /> � <br />