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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: 3'`�($O NOR�i SH-��-t. Di2• <br /> PID: <br /> DESCRIPTION OF WORK: �C--r • (n A t�A�� <br /> ZO.�tI�Ti G REV�W BY: DATEAPPROVED: 8-Z�(-oS <br /> BUII.DING REVIEW BY: DATE APPROVED: g•z�c• �� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW � Yes �/ No SE�VER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TI�tG CH�CK LIST Zoni.ng District: C-�- i �- <br /> Fire Department: Post Office: School Districr. <br /> Lot Area: Sc.ft. �,SG�3 Acres .2Z Width SO Depth <br /> Survey Submitted: Yes X No Date of Survey: �-/���1°1 <br /> Proposed Setbacks: <br /> Front(Lake): � �n ' � Right Side: ►1,.� � <br /> Rear (Street): I�•`{ Left Side: 1 t�` <br /> Adjacent Structures: I �� Wetland: IJ 1�1 <br /> Building Heioht: Def. Hgt. (9,K- Peal:Hgt. p.�C. <br /> Lot Covera�e: 143.2 <br /> Grading: Staff Approval Date: 1 - 12-O� By:�M �:.�'�8uncil Approval Date: <br /> Septic: Staff Approval Date: /�►�/�} By: <br /> Zoning File: # DS-3i33 Resolution: � Resolution Date: 8'�3 -OS <br /> Shoreland District: v�25 <br /> Av;. Setback: ���_ Bluff Setback: /'� ��1 L.ot Coverage: i�.2 <br /> Ezistina Proposed <br /> Hardcover: 0-75' Z,°?o 2°�a <br /> 75-250' 3�•�l <br /> 2�0-500' `1)'7° <br /> 5a0-1000' <br /> Hazdcover Variance Required: Yes� No � Date of Council Approval: 8'�' 0 S <br /> RENIARKS (in house): <br /> � <br />