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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: yY�b �U.S.� <br /> PID: <br /> DESCRIPTION OF WORK: Gjf Z��v — it�c:��h3 <br /> ZO.vI�Ti G REVIE`Y BY: L�C��W�W_- DATE APPROVED: 7 �'-�s' �W <br /> BUII..DING REV�tiY B : DATE APPROVED: -�-� -o s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW � Yes �� No SEWER CONNEG"TION <br /> STATE SUR.CHARGE Yes / No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOi�TIl�TG CI�CK LIST Zaning District: <br /> Fire Degartment: Post Office: School District: � ' <br /> Lot Area: Sq.ft. No CN�a^�,,P Acres Width Depth � <br /> �— <br /> Survey Submitted: Yes_� No Date of Survey: � 9-��-BS <br /> Proposed Setbacks: <br /> Front(Lake): � /o'�' � Right Side: i 2, <br /> Reaz(Sueet): .Sa� a' Left Side: Z� <br /> Adjacent Structures: 16 ` Wetland: N //F <br /> Building Height: Def. Hgt. p,� Peak Hgt. <br /> Lot Coverage: D•1G <br /> Grading: Staff Approval Date: N�� By: Council Approval Date: <br /> Septic: Staff Approval Date: i1!//�- By: <br /> Zoning File: # —' Resolution: # Resolution Date: <br /> Shoreland District: y�j <br /> Avg. Setback: O.l�- Bluff Setback: /✓/� LotCoverage: O.k <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' Z� � '� <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No ic Date of Council Agproval: <br /> RENiARKS (in house): <br /> � <br />