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♦ <br /> , • CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �ao �iv2T-ri i4Km �2 <br /> PID: <br /> DESCRIPTION OF WORK: A ao�r�d n� <br /> ZO.vI�ti G REVIEW BY: DATE APPROVED: 1 I- S- �3 <br /> BUII.DING REV�`� BY: DATE APPROVED; i I - � - 03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,� No <br /> PLAi�I REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ./ STTEINSPECTTON <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: �. <br /> Fire Department: Post Office: School District: <br /> L,ot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes� No Date of Survey: 9- i'7- 8 I <br /> Proposed Setbacks: <br /> Front (Lake): `�0�"� Right Side: � 5 O� �' <br /> Rear (Street): I 2"l� ±' Left Side: 15� � <br /> Adjacent Structures: A-r�1c►-+�t,� Netland: N//g <br /> Building Height: Def. Hgt. v•k Peal:Hgt. ' <br /> L,ot CoveraJe: N �A <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y C 5 <br /> Avg. Setback �/�9 Bluff Setback: /y�A LotCoverage: c� /< <br /> Existino Proposed <br /> a <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' �.3'7 �'3 <br /> 500-1000' <br /> Hardcover Variance Required: Yes No�_ Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />