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, � <br /> � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 2(025 Iv0�ZT1� Sl-kOtZ� tL�t2lV(� <br /> PID: <br /> DESCRIPTION OF WORK: � �,����-��� • <br /> � ��___________ ------_ ---_ ------------------------------------------`-----------�-- <br /> ZONING REVIEW BY: � (�— DATE APPROVED: o•Z6 9 <br /> BUILDING REVIEW BY: DATE APPROVED: i o-ZS-�j� <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 WATERCONNECTION <br /> INVESTIGAZ'ION FEE Yes No PARK FEE <br /> SAC Y;:s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: (�Z•j►� <br /> Fire Department: Post Office: � School District: �R�p <br /> Lot Area: Sq.ft. SZ,Ocov Acres 2•l� Width Depth <br /> Survey Submitted: Yes� No Date of Survey: 0/J f'�C� <br /> Proposed Setbacks: <br /> Front(Lake): _ 3�-4 Right Side: 7 L �`l' <br /> � <br /> Rear(Street): Zov� '� Left Side: ) b� � `�= <br /> Adjacent Structures: �(�ee� Wetland: 1J l�°i <br /> Building Height: Def. Hgt. C9•(�C... Peak Hgt. bti � <br /> Lot Coverage: /`r ld! <br /> Grading: Staff Approval Date: /U ��- By: Council Approval Date: <br /> Septic: Staff Approval Date: /'J(/�- By: <br /> Zoning File: # Z�-�3 Resolution: �f Resolution Date: /b-27-�i 7 <br /> Shoreland Dist:ict: �S <br /> Avg. Setback: U A�►vM►es Bluff Setback: N l�- Lot Coverage: n7�y0- <br /> � Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' U►¢�Ll�F3�''� <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): 1�5�,s S�b�t1�-'� � <br /> � 26 <br />