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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY _ . <br /> ADDR�SS OR LEGAL: �119$ Vv o R Tl-� s�-�c�(2�% d Ri V� <br /> PID: <br /> DESCRIPTION OF WORK: 1 �b � ' <br /> ZO�TNi G REVIEW BY: ,,,,_. � DATE APPROVED: � - 7 - 4 f <br /> BUII.DI�i TG REVIEW BY:. DATE AP�ROVED; L •? -�i 9 p <br /> . _ � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes .i No <br /> PLAN REVIEW _ Yes .� No SEWER CONNECTTON <br /> STATE SURCHARGE Yes r/ No WATERCONNECTION <br /> INVESTTGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAGUnits OTHER (specify) <br /> ZONING CH�CB LIST Zoning District: C.R��(� <br /> Fire Department: y1,t�uru� Post Office: n.►�.,� School District: �s2 S7toNtiC�4 <br /> Lot Area: Sq.ft. I�t,`{3l0 .y�'l Acres . y y � wiac� S Y•`1 DeP� . 35�7:Z9 1k� <br /> Survey Submitted: Yes_ C� No Date of Survey: o� ��c.�.. 4-i�t-8`/ <br /> Proposed Setbacks: � . I <br /> Front(Lake): L(oo� �= Right.Side: �� I <br /> Rear(Street): I(,U� � Left Side: ZS� '= I <br /> Adjacent Structures: S7o Wetland: N« <br /> Building Height: Def. Hgt. �•k- Peak Hgt, t9, L�. � <br /> Lot Coverage: �-��,. ' <br /> Grading: Staff Approval Date: — By: -- Council Approval Date: — I <br /> Sepdc: Staff Approval Date: -- By: � <br /> Zoning File: # .— Resolution:# — Resoludon Date: <br /> Shoreland District: Nu <br /> Avg. Setback: Bluff Setback: I.at Coverage: <br /> . g��g Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> RF,MARK�(in house): <br /> 7 <br />