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• <br /> CII4K OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ' ADDRESS OR LEGAL: I DS 020,46 02cH04-44 ) 4..5,0 <br /> PID: <br /> DESCRIPTION OF WORK: _146617-70,0- bet=i►-w00 4- <br /> ZONING REVIEW BY:' ___-- DATE APPROVED: •y- 2 5-Oh <br /> BUILDING REVIEW BY: DATE APPROVED: y. 2 S-D 6 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> • <br /> PLAN REVIEW Yes (/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes ,/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No v-- PARK FEE <br /> SAC Yes No v SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ------------------- -- ------------ <br /> ZONIIIIG CHE.CK LIS1 Zoning District: . <br /> Fire Department: Post Office: School District: <br /> • <br /> Lot Area: Sq.ft. 15 Acres I.SZ Width Depth <br /> Survey Submitted: Yes�C _ No Date of Survey: 41- 21-0 <br /> • <br /> Proposed Setbacks: . <br /> Front(Lake): Right Side: /3 SI <br /> Rear(Street): 100' + Left Side: '?o <br /> Adjacent Structures: 2Z.1 Wetland: N 1 f <br /> Building Height: Def. Hgt. ü Chi �/ C.k Peak Hgt. C. K..- <br /> Lot Coverage: N/4 <br /> • <br /> Grading: Staff Approval Dat : ++-ZS -0 By: ,/ • Council Approval Date: <br /> Septic: Staff Approval Date: N• 25 -0 to By: cfp' o, <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: 105 S <br /> Avg. Setback: N A- Bluff Setback: ,//n Lot Coverage: N/A <br /> Existing Proposed <br /> Hardcover: 0-7 ' <br /> 75- 50' Pi-Y <br /> 25 -500' 3 <br /> 50 -1000' <br /> Hardcover Variance equired: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> I <br />