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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S ZS oRc i-t✓ z.o PARK_ Ido 440 <br /> PID: <br /> DESCRIPTION OF WORK: QE- <br /> ZONING REVIEW BY:Cy I/ — DATE APPROVED: '-v-o <br /> BUILDING REVIEW BY: _ / DATE APPROVED: 1.z.c -o x <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/. No <br /> PLAN REVIEW Yes // No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WA 11.R CONNECTION <br /> INVESTIGATION FEE Yes No .i PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC.Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. 2.1 2 s Acres S Width 32S.S Depth 66/.0( <br /> Survey Submitted: Yes X No Date of Survey: -7•7.5 -a S <br /> Proposed Setbacks: <br /> Front(Lake): 572 Right Side: i S <br /> Rear(Street): '!ZLeft Side: 2..9 a <br /> Adjacent Structures: '7•S' Wetland: NM <br /> Building Height: Def. Hgt. C7. k- Peak Hgt. — <br /> Lot Coverage: N f0- <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: /VV <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 />