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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �3�t 0�� /t•`�u/'�7�� ��r`�: ��i v� � <br /> PID: <br /> DESCRIP'I'ION OF WORK: tp �.c_..i� z-�, .� i l� <br /> -- - ------ - -- -------------------------------------------------------------- <br /> ZONING REVIEW BY: - J ��,�-- DATE APPROVED: � �� .��'�i <br /> BUII.,DP�1G REVIEW BY: ' �.�,.., DATE APPROVED: � � �.�-�t"1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �' No <br /> PLAN REVIEW Yes _� No SEWER CONNECTION <br /> STATE SUR�HARG� Yes � No WATER CONNECTTON <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIlVG CHECK LIST Zoni.ng District: C/'- �L <br /> Fire Deparcment: ��,2�-�- Post Office: e�,�-z.rr�'} School District: Ci1?L�L" <br /> LotArea: Sq.ft. yc;, ?��� Acres � �� Width _ r17 � � Depth -'�=�v t. <br /> Survey Submitted: Yes J� No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): l�2� � Right Side: `_.SZ?� <br /> Reer(Street): t bG �= Left Side: ��� + <br /> Adjacent Structures: ��T��-f-�-�'� Wetland: �,� j�� <br /> Building Heiaht: Def. Hgt. N /G� Peak Hgt. — <br /> Lot Coverage: � � k. <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> ;k- <br /> IJ Septic: Staff Approval Date: By: <br /> oning File: # Resolution: # Resolution Date: � <br /> Shoreland DisLict: v.�� <br /> Avg. Setbac� G�i�- Bluff Setback: � � �'- L.ot Coverage: Ci,/� <br /> � Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' � a + � <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_� Date of Council Approval: <br /> REMARKS (in house): <br /> 26 <br />