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• , CHECB OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: 31 c�5 L t��uvGSNN c. ; s <br /> PID: <br /> DESCRIPTION OF WORg: /U�;,� (2.G S <br /> ZO.�iI�Ti G REV�W BY: DATE APPROVED: /�- z 2-9�1 <br /> BUII�DPi 1G REVIEW BY: � DATE APPROVED; {( -LZ �r�j <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes �_ No SEWER COrfNECTION <br /> STATE SURCHARGE Yes � No WAT�iCONNECTTON n,AJ c�� <br /> INVESTIGATION FEE Yes No PARK FEE �'�'r^"`'"'* '�� <br /> SAC Yes � No SiTEINSPECTION <br /> Number of SAC�Units 1 OTHER (specify) <br /> ZON71�. TG CH�CB LIST Zoning Districr. !� -��-� <br /> Fire Department: vvW v,�,r� Post Office: t�i4 v-t.�t� School District: w e s 7"0�1 Ich <br /> I$��.�7 <br /> Lot Area: Sq.ft. $�.Q�,1�0 Acres .4b.iD`('�,b Width 29•�.l Depth �D..�-�`'�• �3 <br /> �- <br /> Survey Submitted: Yes_� No Date of Survey: I O-OS•9� <br /> Proposed Setbacks: � <br /> �est(Lake): 1 S Right Side: � � , <br /> Rear(Sueet): t� Left Side: 1(.t <br /> Adjacent Structures: O' Wedaad: /�( (IA <br /> Buildin�Height: Def. Hgt. p.�L Peal:Hgt. <br /> Lot Coverage: N � d4 ' <br /> Grading: Staff Approval Date: D ,l�C By: �(� Council Approval Date: <br /> Septic: Staff Approval Date: N 1 � BY: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Districr. <br /> Avg. Setback: Bluff Setback: L,flt 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 /> REMARKS (in house): _ <br /> 7 <br />