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' : <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: i Z 8 O (_`1�vl q,N A v cr <br /> PID: <br /> DESCRIPTION OF WORK: N� 12�5 <br /> ZONING REVIEW BY: DATE APPROVED: 3 - r S-na <br /> BUILDING REVIEW BY: DATE APPROVED: 3- � `S'-oo <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes .� No <br /> pLA1�1 REVIEW Yes �/ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes ✓ No � WATER CONNECTION <br /> INVESTIGATION FEE Yes No ✓' PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zo�g n�scr��c: 2R• 14 <br /> Fire Department: (�p nf Co (J4,lC�: Post Office: l��►� �ArIG� School District: p�Z�qN t� <br /> Lot Area: Sq.ft. I b$�2�O Acres 3.�d(o Width t ytJ��6�vNL- Depth --- � <br /> Survey Submitted: Yes_� No Date of Survey: 2-1 b -b o <br /> Proposed Setbacks: <br /> Front(Lake): b �•23 � Right Side: '7 b ' ± <br /> Rear(Street): 2`i d' '� Left Side: Z"�ti�i <br /> Adjacent Structures: N l/� Wedand: �I a �� <br /> Building Height: Def. Hgt. Z.l' Peak Hgt. Z�3� <br /> Lot Coverage: /v I fl <br /> Grading: Staff Approval Date: 3 • �S -n� By: � Council Approval Date: -� <br /> Septic: Staff Approval Date: 3��S -Ov By: �,P <br /> Zoning File: # — Resolution: #�= Resolution Date: <br /> Shoreland District: N� <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 /> R.EMARKS (in house): _ <br /> 27 <br />