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CHECK OFF LIST FOR ISSUANCE OF PER'1�IITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �� ( S 1�+'��K �D2, - <br /> PID: <br /> DESCRIPTION OF WORK: /'�r0��n�^� /��'''o�� <br /> ZONING REVIEW BY: DATE APPROVED: G -<Y'a� <br /> BUILDING REVIEW BY: DATE APPROVED: (� -��(-vo <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes v� No SEWER CONNECTION <br /> ST�TE 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: L 2-1/3 <br /> Fire Department: ry�v�� Post Office: Ww��✓� School Disu ict: W L ST�v�� <br /> Lot Area: Sq.ft. N'� G��}r�S.f Acres -- Width Depth -- <br /> Survey Submitted: Yes yc No Date of Survey: <br /> Proposed Setbacks: <br /> F�re�t (Lake): � �� � '� Right Side: l � �^-� <br /> RCSr (Street): �,.z(;�� t Left Side: .°1 <br /> Adjacent Structures: A-��'�"�� Wetland: � ��' <br /> Building Height: Def. Hgt. O�(� Peak Hgt. p. ��— <br /> Lot Coverage: n��✓� <br /> Grading: Staff Approval Date: �(✓-L By: Council Approval Date: <br /> Septic: Staff Approval Date: ��✓� By: <br /> Zoning File: # � Resolution: # -- Resolution Date: � <br /> Shoreland District: y�5 <br /> Avg. Setback: �,{� Bluff Setback: � l ✓� L,ot Coverage: �� �2- <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' i q � Zy <br /> 250-500' I °� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No_� Date of Council Approval: <br /> REMARKS (in house): <br /> 27 <br />