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��s sep��c� <br /> �t�-�,.f-�;vs � <br /> CHECi� OFF i.IST FOR ISSUANCE OF �ERMITS ����r <br /> FOR OFFICE USE ONLY � <br /> A.DDRESS OR LEGAL: 2 I 3.� �sk( Cd�� <br /> PID: <br /> DESCRIPTIO�IOFWORK: lv►- r'r�d '�od� <br /> Z0�.�17�Ii G REVIE�V BY: � --------- DATE APPROVED: . <br /> BUILDING REVIE�Y BY: � . . DATE APPROV�D; <br /> FEES TO BE CHARGED:� Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW � Yes No W�C���ON <br /> STATE SURCHARGE Yes No <br /> INVESTIGATION FEE Yes No P�1RK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> Z01II�IG CHE.CK LIST Zoning District: . <br /> Fire Department: Post.Office: _ School District: • <br /> Lot Area; Sq.ft. Acres � Width _ Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � � <br /> Froat(Lake): Right Side: , <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Buildin�Heioht: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Gradino: Staff Approval Date: By: Council Approval Date: ' <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: !# Resolution: # Resolutioa Date: <br /> Shoreland District: L.otCoveraQe• <br /> Av�. Setback: OK BluffSetback: h�► � • <br /> ' EzistinQ Proposed <br /> 0 <br /> Hazdcover: 0-75' __ <br /> 75-250' _ - <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> �E��LARKS (in house): <br />