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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: 2 3Zc� [�r,,n,6 v�ew c��u� � <br /> PID: <br /> DES CRIPTION OF WORK: D L.GK <br /> ZO�IG REVIE�V BY: DATE APPROVED: $-�-c��{ <br /> BUII�DI�i 1G REVIE`Y BY: ,,,Q t 0�. DATE APPROVED: g-�= u� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1viIT Yes ,/� No <br /> PL?.i�T REVIEW Yes �/' No SEWER CO�INEC"lTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoaino Districc: . <br /> Fire Department: Post Office: School District: � <br /> Loc Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: D�., ��tx. <br /> Progosed Setbacks: <br /> Front(Lake): I S(' t Right Side: `�o � �= <br /> Reaz (Street): � L'1� t Ltft Side: �1 � '"t <br /> Adjacent Structures: f+�r-�ar.t+�J �Vetland: �IA <br /> Building Height: Def. Hgt. � Peak Hgt. — <br /> Lot Coverage: <br /> Gradino: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # ' Resolution: # Resolutioa Date: � <br /> Shoreland District: W a � <br /> Avg. Setback: Bluff Setback: L.oc Coverage: <br /> Eustino Proposed <br /> Hazdcover: 0-?5' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Couacil Approval: <br /> REI�ZARKS (in house): <br /> 7 <br />