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CHECK OFF LIST FOR ISSUANCE OF PERMUS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: YS36- A/OR771 Tn� D0?- <br /> PID: <br /> DESCRIPTION OF WORK: Sey- sr.n r� t/1,Z-.r K <br /> ZOIVIIVGREVIEtVBX: _ _ -_-__-__F--DATEAPPROVED: // 2,3-ay <br /> BUILDINGREVIEWBY: DATEAPPROVED: i z3- Y <br /> -------------------------------------IX------------------------------------_----_.----- ------ ------- --- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes ✓ No SEWER CONIVECTION <br /> STATE SURCHARGE Yes ✓ No WATER COMVECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: _.. <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_ 74-t No Date of Survey: -ict-d2- <br /> Proposed Setbacks: <br /> Ftmwt(Lake): 1r,3 �= Right Side: -11 <br /> Rear(Street): 1111 t Left Side: 13' <br /> Adjacent Structures: O Wetland: NIA <br /> Building Height: Def. Hgt. O,k Peak Hgt. <br /> Lot Coverage: NO G(MAI&e- <br /> Grading: Staff Approval Date: —` By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: SPS <br /> Avg.Setback: O-k Bluff Setback: N/A Lot Coverage: N-C. <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' �o C}lpnrc�I <br /> Hardcover Variance Required: Yes No K_ Date of Council Approval: <br /> REMARKS(int house): <br /> 31 <br />