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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /i 30 0 c./> C/Iy5779{- , <br /> PID: <br /> DESCRIPTION OF WORK: "-e ( jt,.) <br /> ZONING REVIEW BY: Cel' DATE APPROVED: $'- 1- 179 <br /> BUILDING REVIEW BY: DATE APPROVED: g - Y-55 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes z.— No <br /> PLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WA 1'tR CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: RP-- <br /> Fire Department: (,oil ecu Post Office:Lcyvt-�(At cc School District: 00-.0".10Lot Area: Sq.ft. Its cU.�3.0 Acres U Width Depth <br /> Survey Submitted: Yes O'- No Date of Survey: o" t'=t ul? <br /> Proposed Setbacks: <br /> Front(Lake): foOO( 'f' Right Side: zoo t <br /> Rear(Street): 3OO Left Side: 300 <br /> 4- <br /> Adjacent Structures: 20()( 4- Wetland: 70)i 4_ <br /> Building Height: Def. Hgt. C) .(c Peak Hgt. <br /> Lot Coverage: /&//,4 • <br /> Grading: Staff Approval Date: • By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> oning File: # Resolution: # Resolution Date: <br /> horeland District: <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): <br /> 7 <br />