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• CAECK OFF LIST FOR ISSUANCE OF PERiVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �t C� rlitv tZTut.V�a�o� 2�a� <br /> PID: <br /> DESCRIPTION OF WORS: �z� t- <op,-vEQp <br /> ZONING REV�W BY: DATE APPROVED: 9-�2-5 7 <br /> BLTII.DING REVIEW BY: DATE APPROVED: S- �z-S'� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �" 1Vo , . .� <br /> PLAN REVIEW Yes � No SEWHR COI�TNECTTON <br /> STATE SUR�HA�LCrE Yes r/ No WATER CONNECFION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIlVG CHECK LIST Zoning District: 2�--�4 � � ~ <br /> Fire Department: Post Office: School District: <br /> � Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes c- No Date of Survey: p N ��� . <br /> Proposed Setbacks: <br /> Front (Lake): . Right Side: <br /> Reaz(Street): Left Side: <br /> . Adjacent Structures: /�Tr�o.u-rc_.� Wefland: �Zp' � <br /> Building Height: Def. Hgt. D• 1G Peak Hgt. — <br /> Lot Coverage: N 1 l� <br /> Grading: Staff Approval Date: /J � By: _ Council Approval Date: ` <br /> Septic: Staff Approval Date: Af (� By: '- � <br /> Zoning File: # Resolution:� Resolution Date: ' <br /> Shoreland DisL-ict: <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> � � • Exiscing Proposed <br /> � Hardcover: 0.75' <br /> 75-250' . . . <br /> Z50-500' . . <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: _,_, <br /> REMARSS('in house): <br /> • 26 . <br />