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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2`&O 50 0(243Nn pRC_tEM- o (2,9 <br /> PID: <br /> DESCRIPTION OF WORK: C cA F-tttz 'n t P cx) <br /> ZONING REVIEW BY: - DATE APPROVED: 5.2fo �r S <br /> BUILDING REVIEW BY: o ( ,.._ DATE APPROVED: 5- u• -9 <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 WATER 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: R2-te <br /> Fire Department: CA+oc.) (pttc Post Office: (..u.rb(A k V School District: 0(O"-10 <br /> Lot Area: Sq.ft. NO Ctouly Acres — Width -- Depth <br /> Survey Submitted: Yes D'- No Date of Survey: ON Ft U . <br /> Proposed Setbacks: <br /> Front (Lake): S t Right Side: 13S ± <br /> Rear (Street): I$D .t- Left Side: /42: <br /> Adjacent Structures: A�7 VW Wetland: N(# - <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland 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 /> E.C.Y-- CJS (t. Teo i.)01 I i- (1 i 2t=Z Wl. <br /> • <br /> 26 <br />