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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y I g DAK .sT. <br /> PID: <br /> DESCRIPTION OF WORK: CA/v4 /q c--rz-rzt-,7 o r) <br /> ZONING REVIEW BY: DATE APPROVED: -7-2 - 3 <br /> BUILDING REVIEW BY: 'A'. iia DATE APPROVED: <br /> �� X jl' W/ C.J.�.-- <br /> FEES TO BE CHARGED: Misch.O Fees Calculated By: Nr <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes 4.*f No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> ire Department: Post Office: School District:. <br /> Lot Area: Sq.ft. Acres - Width Depth <br /> Survey Submitted: Yes X No Date of Survey: oN <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> L <br /> (9Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: -1.2.-WA By: c b • Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: y-2 S <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): m cw r�b VA,.w,,.,ar ,�s <br /> 4D <br /> 7 <br />