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CHECK OFF LIST FOR ISSUAI�ICE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3b15 �o� st�.z,ru:, p2 <br /> PID: <br /> DESCRIPTION OF WORK: /y� �'2,`,� <br /> ZO.vI�ti G REVIEW BY: DATE APPROVED: �r•�Y-�Y <br /> BUII.D�G REVIEW BY: DATE APPROVED: ��Y-� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW � Yes ✓' No SEWER CONNEC"ITON <br /> STATE SURCHARGE Yes ,/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No —� SITEINSPECTION <br /> Number of SAC�Units �,n�� f�'��o,� ,�.Z.`� OTHER (specify) <br /> ZOi�1I'vG CH�CK LIST Zoning District: L/Z-r�. <br /> Fire Department: Post Office: School Dis[rict: <br /> Lot Area: Sc.ft. (��5 6 I Acres .1 S Width Sa Depth <br /> Survey Submitted: Yes a No Date of Survey: �a{'1 7 05 <br /> Proposed Setbacks: � <br /> Front (Lake): � f Right Side: I O <br /> Rear(Street): 3� Left Side: t 0 <br /> Adjacent Structures: �//� �Vetland: N/� <br /> Building Height: Def. Hgt. Z�•� Peal:Hgt. 3t.ti <br /> Lot Coverage: 2Z-`1 <br /> Grading: Staff Approval Date: � I-�ti{— 0 5 BY:ppJ•��.,�Council Approval Date: � <br /> Septic: Staff Approval Date: �� N(� By: <br /> Zoning File: # Bs-3lS I Resolution: # Resolution Date: C�c-T. /�• �S <br /> Shoreland District: �f. � <br /> Av�. Setbacl�: �,k Bluff Setback: /U/� Lo[Coverage: 22•H <br /> Ezisting Proposed <br /> Hardcover: 0-75' 2� �Z•`ly <br /> 7�-250' �0.7 �b'7.(o <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes �_ No Da[e of Council Approval: ocT. ro,05 <br /> REI�iARKS (in house): <br /> 7 <br />