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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> , ADDRESS OR LEGAL: t Sti S W1 1 NN I l-'.. �4v L <br /> PID: <br /> DESCRIPTION OF WORK: �L C�c <br /> ZOr11i TG REVIEW BY: DATE APPROVED: �'8•�- 01 <br /> BUILDING REVIEW BY: DATE APPROVED: g 7- o t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�viIT Yes ✓ No <br /> PLA1�1 REVIEW Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TG CH�CK LIST Zoning District: �2- I L. <br /> Fire Department: Wl�v iN� Post Office: yw,��,,�-,o School District: �;,��S n��11�A <br /> Lot Area: Sq.ft. 2l, (,�t q.S Acres • `'�`17 Width � 5 o Depth 1�-i'd.33 <br /> Survey Submitted: Yes_ c� No Date of Survey: `� -Z� '�� <br /> Proposed Setbacks: <br /> Front(Lake): �-7' � Right Side: '12•"Z' �` <br /> Reaz(Street): `t l � �' I.eft Side: 5 3� * <br /> Adjacent Structures: N (t4 Wetland: /V(� <br /> Building Height: Def. Hgt. d,�� Peak Hgt. Q.« <br /> Lot Coverage: f�.(� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: #� — Resolution: # Resolution Date: <br /> Shoreland District: nt c� <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 Variance Required: Yes No Date of Council Approval: <br /> RE1�Z,ARKS (in house): <br /> � <br /> 7 <br />