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, . � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 5,65 NOR,TI-1 sh�/l� /�iC' <br /> PID: <br /> DESCRIPTION OF tivORK � T G�2A�� — <br /> ---------------------------------- <br /> ZONING REVIEW BY: _ DATEAPPROVED: �-13�c�( <br /> BUILDINGREVIEWBY: DATEAPPROf�ED: -t -i3•�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes_� No WATER COMVECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Na�mber of SAC Units OTHER (specify) <br /> ZONIIVG CHECKLIST ZoningDisa•ict.• L2-/A <br /> Fire Depar�hnent: Post Office: School District: <br /> LotAr•ea: Sq.ft. 6`t,25o Acres �•yl Wicith Deptla <br /> Survey Submitted: Yes X No Date of Scuvey: <br /> P,•oposed Setbacks: � � <br /> Front(Lake): (2v Right Side: 1� <br /> Rem�(Sh-eet): ZZB�� Geft Side: 1 Z3� � <br /> Adjacent Structures: Z►' GVetland: 3�� <br /> Bc�ilding Height: Def. Hgt. 0.1� Peak Kgt. O.K. <br /> Lot Coverage: S• 3 <br /> Gr•aciing: StaffApproval Date: No c►f�W'CE. By: Council Approval Date: <br /> Septic: S[aff Approval Date: �tl�R By� <br /> Zoni�ig File: # �3•Z52�t Resolution: # Resolution Date: oc T Z7 �3 <br /> Shoreland Disd•ict: v�PS <br /> Avg. Setback: c�•t� Bluff Setback: � /� Lo[Coverage: �•3 <br /> Esisting Proposecf <br /> Hardcover: 0-75' Z�•v u'V <br /> 75-250' ��.7 «� <br /> 2S0-SOO' 2.> 2.S <br /> 500-1000' <br /> Hardcover Var•dance Reqa�ir•ect: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 31 <br />