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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY _ <br /> ADDRESS OR LEGAL: 4�l�l�3 Nv R'� s c�R-C. �� <br /> PID: <br /> DFSCRIPTION OF WORK: �T O N 'u.�$�- <br /> ZO.YPi TG REVIEW BY: DATE APPROVID: 7-�-`z Y <br /> BUII��ING REVIEVf�B�:. DA1'�APPROVED; 7 - �-S9 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes_� No <br /> PLAN REVIEW _ Yes v No SEWER COTtNEG"TION <br /> STATE SURCHARGE Yes v' No WATIIt CONNECTION <br /> IN`IESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No - SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CHE.CK LIST Zoning District: LR -f�3 . <br /> F'ue Department: W�n�,"✓� Post Office: WI,o v�r� School District: l,v P S�� k� � <br /> Lot Area: Sq.ft. l l..'�-'�Z Acres • 3 P> � Vf/idth .�lZ2��tk 2 Depth — <br /> Survey Submitted: Yes� No Date of Survey: 9-�S" �Q!¢J <br /> Proposed Setbacks: "— � . <br /> €�oaL(Lake): 7f8 � � Right Side: �t!//t <br /> -�a�{Street): S� '� Left Side: Sc3.7� � <br /> Adjacent Structures: A-'�7�4c�f G;� Wetland: <br /> Building Height: Def. Hgt. — C9.,L Peak Agt. -� <br /> Lot Coverage: I I�.a`� <br /> Grading: Staff Approval Date: '— By: Council Approval Date: <br /> Sepdc: Staff Approval Date: """ By: <br /> Zoning Flle: # 23g 9 � Resoludon:# 421�_ Resoludon Date: /Z•��•9� <br /> Shoreland District: <br /> Avg. Setback. I N/� Bluff Setback: �✓/�' Lot Coverage: /�.B 9 <br /> Existing Proposed <br /> Hardcover: 0-75' 23.'�S 2 s.o9 <br /> 75-250' y z�3 {��.�L <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes /�C No Date of Council Approval: <br /> RF,MARKS ('�house): _ <br /> 7 <br />