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, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 Z.i o N�• �N-o�� ip(Z�v P � <br /> PID: <br /> DESCRIPTION OF WORK: 5 H�=� <br /> ZONING REVIEW BY: DATE APPROVED: 9- Z3-S) <br /> BUII�DING REY�W BY: DATE APPROVED: 5 -t,3 �S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> PLAN REVIEW Yes ✓ No SEWER COrfNECTION <br /> STATE SUR`HA1�CrE Yes � No WATER CONNECTTON <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECfION <br /> Number of SAC Units OTHER (specify) <br /> ZONIlVG CHECB LIST Zoning District: G2-i Q <br /> Fire Department: t,�A r.��rs, Post Office: c,�„4,,�e- School Disuict: ��la.�r� <br /> Lot Area: Sq.fc. Z.o r 6"I�•7�Acres •'17 � Width S 1.3` t Depth 35"°i ` � <br /> Survey Submitted: Yes� No Date of Survey: 5 - 29- `►F, <br /> Proposed Setbadks: � <br /> Front (Lake): . Z4v,5�-'' Right Side: 3��*- � <br /> Reaz(Street): �o` {= Left Side: t p` <br /> . Adjacent Structures: �s� Wetlaad: _ /t�//�- <br /> Building Heiaht: Def. Hgt. �.1�C Peak Hgt. � <br /> Lot Coverage: 0•k <br /> Grading: Staff Approval Date: i✓�A'- By: Council Approval Date: <br /> Septic: Staff Approval Date: n/(� By: � <br /> Zoning File: # N l!a- � Resolution:�. Resolution Date: � <br /> Shoreland DisL-icr. ��s <br /> Avg. Setback: N/A Bluff Setback: �l sr Lot Coverage: q,?c, <br /> • Existing Proposed <br /> Hardcover: 0 75' � <br /> 75-250' . . . <br /> 250-500' �l � {g <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No_� Date of Council Approval: <br /> REI�'iA,RKS(in house): <br /> • 26 . <br />