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� � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: 3"l� Z C..� v w�,sTa N = <br /> PID: <br /> DESCRIPTION OF WORK: /V�Loc,rr (?�S <br /> _____` _ _______________�_______ <br /> ZO�JING REVIEW BY: DATE APPROVED: ��-(8=5� <br /> BUII,DNG REV�W BY: � DATE APPROVED; f i•t�-Sq <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> pLAN REVIEW Yes ✓' No SEWER CONNEG"ITON <br /> STATE SURCHARGE Yes ,/ No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEC'TION <br /> Number of SAC�Units OTHER (specify) <br /> ________� - -------- -------- - <br /> ZO�TING CI�CB LIST Zoning District: �,►�.-� �- � <br /> Fire Department: vv►,���c.9 Post Office: �,�,4�.,�� School District: s rv�kh� _ <br /> Lot Area: Sq.ft. t�H � Acres , U2�6 � Width 7� Depth L �-1 <br /> Survey Submitted: Yes_�c No Date of Survey: �d-?�b •45 <br /> Proposed 3etbacks: � <br /> Front(Lake): 11 Right Side: � <br /> Reaz(Street): �� Left Side: � <br /> Adjacent Suuctures: �4�7ti4-c-N-C'r� Wedand: /�//a- <br /> Buildin�Height: Def. Hgt. a.!� Peak Hgt. — <br /> Lot Coverage: N �/� ' <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: : By: <br /> Zoning File: # Resolution: # Resoluuon Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> ���, Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />