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� ' <br /> . <br /> �• CHECK OFF LIST FOR ISSUANCE OF PERMTTS <br /> F,S�R OFFICE USE ONLY <br /> ADDRESS OR LEGAL• �(� fG' �����;1�-,.� ��� PID: �l- I/ 7 — �-�3 �? 3 C� �/ � <br /> DESCRIPTION OF WORK: •F�-�-�'--��--� <br /> ZONni 1G REVIEW BY: � ,,._._ DATE APPROVED: 3 zz-�;5 <br /> BUII..DPtG REVIEW BY: �(Q.0�.,. DATE APPROVED: _ 3 z� -5 5 <br /> -------------------------- <br /> FEES TO BE CHARGED• Misc. Fees Calculated By: <br /> PERI'�1IT . Yes ✓' No <br /> PLAN RE�'IEW Yes ✓' No SEWER COiVNECTION <br /> STATE SURCHARGE Yes '� No WATER CONNECITON <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No � SITE INSPECITON <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------_________-- • <br /> ZONING CHECK LIST Zoning District: ��-�Q Shoreland District Y�5 <br /> Fire Departmen�: /�o�� Post Office: erd Excecs�e 2 School District: ✓L�ew�„6, <br /> Lot Area: Sq.ft.3`I.7Z Fr Acres • �� Width /0� � Depth 3 k l.Z� A�L <br /> Survey Submitted: Yes 7� No Date of Survey: Y'L S '�v <br /> Proposed Setbacks: N�l� N <br /> �r�(Lake): �Sa � f Right Side: � <br /> Rea�(Street): N�I� Left Side: S�� + � <br /> Adjacent Structures: R7"r/�G(fc.=� We[land: �/ (� <br /> � Building Height: Def. Hgt. C� •��- Peak Hgt. (� .IG <br /> Avg. Setback: �•��- Bluff Setback: /U �� Lot Coverage: -I�° <br /> Existing Proposed <br /> Hardcover: 0-75' '��G <br /> 75-250' z 3 L`'T� 7 3 � <br /> 250-500' ^'��- <br /> 500-1000' <br /> Hardcover Variance Required: Yes No �C Date of Council Approval: <br /> Grading: Staff Approval Date: By: C il Approval Date: <br /> Septic: Staff Approval Date: Y� <br /> Zoning File: # Re o tion: # Resolut�on Date: <br /> REI2ARK.S (in hOuse): — <br /> 26 <br />