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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �/430 /2 v ss c:� i4.�-a <br /> PID: <br /> DESCRIPTION OF WORK: —nr T <br /> Z0�1G RE'VIE`Y BY: DATE APPROYED: 7-6 -�° `� <br /> BUII.,DI�iG REVIE'4V B : DAT'E APPROVED: � -6 •fl 7 <br /> FEES TO BE CfIARGED: Misc. Fees Calculated By: <br /> PERMIT Yes i/' No <br /> PLA�v REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECI'ION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYING CHE.CK LIST Zoai.ng Discrict: �vo C/-�e a/L C�-k <br /> ✓ <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Progosed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Netl d: <br /> Building Hei�ht: Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Re olutioa Date: � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> Existine Proposed <br /> Hazdcover: 0-75' <br /> 75-250' � <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaciance Required: Yes No Dace of Council Approval: <br /> REI�ZARKS (in house): <br /> 7 <br />