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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR FFICE USE ONLY <br /> ADDRESS OR LEGAL: /4,5-5 , Jj <br /> PID: G`;/-//7 - 2 3 3 4/ Ocv 2- <br /> DESCRIPTION <br /> DESCRIPTION OF WORK: 7 "If L),,Zeez <br /> ZONING REVIEW BY: _, _44,,, DATE APPROVED: z• N- 57 <br /> BUILDING REVIEW BY: ' flJ DATE APPROVED: ?- <br /> i <br /> r <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW Yes r- No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No u- PARK FEE <br /> SAC Yes No ✓ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L4 •1 Y4 <br /> Fire Department: Litvt. (,¢fes Post Office: I,j,# 1 y4rry School District: FV <br /> Lot Area: Sq.ft. ( J-eAcres Width Depth <br /> Survey Submitted: Yes )4- No Date of Survey: 6-4'2= 73 <br /> Q i Fu1..t• <br /> Proposed Setbacks: <br /> Fent (Lake): I 40 Right Side: -t <br /> Rear (Street): 3'7s� -1-2- Left Side: R.90( <br /> ( <br /> Adjacent Structures: 4 rya c-j f Wetland: Ai( <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: A)1.4- <br /> Grading: <br /> .) .4-Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: ' '5 <br /> Avg. Setback: (j. Bluff Setback: Al l� <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' atOi C ff�l <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 10 <br />