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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /y�'3 ��r r k D/'i ve- <br /> PID: 07- -2 y z ooz2 <br /> DESCRIPTION OF WORK: e s� <br /> ______ --- - ------------------------- --- <br /> ' Z�S�o/ <br /> ZO�TING REVIEW BY: � � ~ DATE APPROVED: <br /> BUII,DING REVIEW BY: DATE APPROVED: Z -az��t <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pERMIT Yes r/ No <br /> pLAN REVIEW Yes v No SEWER CONNECTION <br /> STATE SURCHARGE Yes v No WA'TF.R CONIVECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ________---- --- --------_______________ ------------ <br /> ZOti�tG CHECK LIST Zoning District: L� 1 <br /> Fire Department: M� Post Office: –��,�„� School District: Z 7 7 <br /> Lot Area: Sq.ft. �?t ��C� Acres '3 � Wid[h �` Depth '"! <br /> Survey Submitted: Yes ✓ No Date of Survey: 9'"�� �� re V�S-Q � <br /> Proposed Secbacks: � <br /> Front(Lake): 7.3 Right Side: <br /> Rear(Sueet): <br /> LeftSide: �•s CA1FE�s Tb B� 3� J <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By� <br /> � 2oning File: # �9S Resolution: # yZ� Resolution Date: �Z/�y 9 8 t r t h t w o.� . <br /> �---- <br /> Shoreland District: � R" � 6 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eusting Propo�se�d�NG �4 ,1. <br /> Hazdcover: 0-75' �S y �,�7 7 . <br /> 75-250' 3`/gv 83�Z' 3 8� <br /> 250-500, � -��d 7 —L I.•�/9 '7. <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: �Z 1`I 9$ <br /> REMARI�S(in house): �PS o�w� � o h No yz�3 " S �� I�+ <br /> . , �(,�,�. <br /> � ► S � h i � � <br /> orc�► o S;ol� �o o.. <br /> .�;� � K.�e.v' p o r�i-�. d�.r ln a��, <br />