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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z�43 S N 02'Tl+ s�-�-o n.E e 2. <br /> PID: <br /> DESCRIPTION OF WORK: /1rc=w /?�-3 <br /> ZOI�TING REVIEW BY: DATE APPROVED: S •22 -v1 <br /> BUILDING REVIEW BY: DATE APPROVED: 5- z Z- o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes i/ No SEWER CONNEC'TION <br /> STATE SURCHARGE Yes � No WATER CONNECTiON <br /> INVESTIGATION FEE Yes No �_ PARK FEE <br /> SAC Yes No c� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: LR-�rq <br /> Fire Department: (,�,v �i4/� Post Office: Cv�+�c (�.-�C,� School District: (j/'LONO <br /> Lot Area: Sq.ft. �3 9, �0� Acres 2•3 Width 1/L 2�G u c.H� Depth <br /> Survey Submitted: Yes X No Date of Survey: �d• 3-�o <br /> Proposed Setbacks: <br /> �t(Lake): / 7 U � Right Side: YD� <br /> Reaz(Street): � �3� Left Side: /Z� <br /> Adjacent Structures: L 3 � Wetland: N �/; <br /> Building Height: Def. Hgt. 2� Peak Hgt. 3 6•�S <br /> Lot Coverage: N //� <br /> Grading: Staff Approval Date: $- ZZ -c�� gy; �. Council Approval Date: — <br /> Septic: Staff Approval Date: '�N (f'a By: <br /> Zoning File: # Z 6"1 Z- Resolution: # Resolution Date: `/• 2 3-V 1 <br /> Shoreland District: �.�,C 5 <br /> Avg. Setback:' U�(� Bluff Setback: ^///�- Lot Co�•erage: N //-� <br /> Existing Proposed <br /> Hardcover: 0-75' Z•�b� `'�•b� <br /> 75-250' 22•9� <br /> 250-500' 2 3.'� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No 4L Date of Council Approval: <br /> REMARKS(in house): <br /> 27 <br />