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• � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /' _3 C .��� , , ;_., /, . ,��'<<_ �.����,�< <br /> PID: �, _ �, �, ,_;, -, <br /> � <br /> DESCRIPTION OF WORK: ' ' <br /> L" <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: �;,, � ,, �_ DATE APPROVED: r u �-ti 4� <br /> BUILDING REVIEW BY� ' DATE APPROVED: � �; 3. ��, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ��' No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR:I�ARG� Yes L/ No WATERCONNECTION <br /> INVESTIGAT'ION-FEE Yes No ,�:� PARK FEE <br /> SAC Yes No _� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: �,1�-�� <br /> Fire Department: �/v�o:.-.�wa Post Office: ,�v�,�..�.-ti'� School District: 1.�:�°�T��� <br /> � �- 2-3�c,'� 'r Width Depth <br /> Lot Area: Sq.ft. {0 3,'�(x, Acres <br /> Survey Submitted: Yes v�- No Date of Survey: �{` '�' �:,..,' <br /> Proposed Setbacks: <br /> Front (Lake): �v I f� Right Side: Z 3 t i � �=~\ <br /> Rear (Street): I l�� '�' Left Side: 7 c:i� � t'`�� <br /> � � <br /> Adjacent Structures: �-�—�y�c�f�-k-�' Wetland: e���� <br /> Building Height: Def. Hgt. /v !,�- Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: #i Resolution: # Resolution Date: <br /> ' (� Shoreland Dist:ict: __ <br /> �� Avg. Setback: Bluff Setback: L,ot 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): �G'�a c��� 7� <=�- G� '� D��n°+ f a,n.t v'k� h,�s�� <br /> � 26 <br />