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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z y �S /U�R��' S ffe�� d!Z <br /> PID: <br /> DESCRIP'TION OF WORK: ���3z- i4�,�i r�o <br /> ------------------------------------------------ ----------------------------------------------------------------------- <br /> ZONni 1G REVIEW BY: DAT'E APPROVED: Z- t C�•�,7 <br /> BUILDING REVIEW BY: DATE APPROVED: Z -C o-9 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SUR`HARGE Yes �/ No WATER CONNECTION <br /> INVESTIGA'I'ION-FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: C.2�If} <br /> Fire Department: N 1 = Post Office: �,t�F1y'7�7-Y3 School District: ORANt� <br /> Lot Area: Sq.ft. io1,�8p Acres Z•`i b�l� Width Z37 �' Depth <S�� � `�- <br /> Survey Submitted: Yes�c No Date of Survey: 2-5' �7 <br /> Proposed Setbacks: , <br /> F�ent (Lake): �I6� � Right Side: / SB � <br /> � <br /> Raa� (Street): Z q 5 � �" Left Side: `�8 � <br /> �� <br /> Adjacent Structures: N//+ Wetland: ^ 7d <br /> Building Height: Def. Hgt. (�. ��- Peak Hgt. (�. /� <br /> Lot Coverage: /l��/-� <br /> Grading: Staff Approval Date: /��� By: ' Council Approval Date: " <br /> Septic: Staff Approval Date: it/�/� By: - <br /> Zoning File: # �l!//�- Resolution: # — Resolution Date: — <br /> Shoreland Dist:ict: y�5 <br /> Avg. Setback: Q,G Bluff Setback: ��A Lot Coverage: <br /> �P o Existing Proposed <br /> Hardcover: 0-75' N� i^��5-O <br /> 75-250' C�• G<.� <br /> � 250-500' Nu r��--s� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> REMARKS (in house)• <br /> � 26 <br />