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' � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (�{(�S C��; f,4« (�t,v Q <br /> PID: `J <br /> DESCRIPTION OF WORK: un� RA�,v�- c�N �:��si-��v r:cLc urv,� G-�x �s r%�j <br /> ------- --- ---------------------- ------------------------------------/.1-�etc <br /> ZONING RE'VIEW BY: � � DATE APPROVED: •1- 2�S 7 <br /> BUII.,DING REV�W BY: DATE APPROVED: �--z-S 7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _�,�' No <br /> PLAN REV�W Yes r/ No SEWER CONNECI'ION <br /> STATE SUR`HARCr� Yes ✓ No WATER CONNECTION <br /> INVESTIGA'I'ION-FEE Yes No PARK FEE <br /> SAC Yes Nn SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoni.ng District: G�-/�9 <br /> Fire Department: (,c� G4 ru� Post Office: �q �/w School District: pfLeJNc7 <br /> Lot Azea: Sq.ft.�vo C(�htiz,L Acres -- Width �-- Depth "' <br /> Survey Submitted: Yes_�_ No Date of Survey: Y- � 7 to <br /> Proposed Setbacks: , <br /> �csst (Lake): . !40� ± Right Side: y / � <br /> d�ecrt'(Street): 13J� t LeftSide: yJ� <br /> Adjacent Structures: �¢rixlu`r-c::.-� Wetland: �//� <br /> Building Height: Def. Hgt. N �� Peak Hgt. �///t <br /> Lot Coverage: U • f�- <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 Vaziance Required: Yes No Date of Council Approval: <br /> � <br /> REMARKS (in house): <br /> • 26 . <br />