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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z S� � 5�N✓J sT�N� LwN � � <br /> PID: <br /> DESCRIPTION OF WORK: N C W �7�. S <br /> ZO�IG REV��V BY: DATE APPROVED: � -�i ��y <br /> BUII1DPtG REVIE`V BY: DATE APPROVED; £3 —� _oy <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER►tiIIT Yes �' No <br /> PLAl�i REVIEW Yes ,/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes r� No WATERCONNECT'ION <br /> INVESTIGATION FEE � Yes No _� PARK FEE <br /> SAC Yes ✓� No SITEINSPECI'ION <br /> Number of SAC�Units � OTHER (specify) <br /> ZONING CHE.CK LIST Zoni.ng District: . <br /> Fire Departmeat: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes p� No Date of Survey: �'O�`��( <br /> Progosed Setbacks: <br /> Front(Lake): � Right Side: U <br /> Rear(Street): v Left Side: v <br /> Adjacent Structures: `� Netland: 2�� <br /> Building Hei;ht: Def. Hgt. ���L Peal:Hgt. �— <br /> Lot Coverage: �l �•� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoaing File: # — Resolution: fl Resoluiion Date: • <br /> Shoreland District: Nv � <br /> Avg. Setback: Bluff Setback: I.ocCoverage: <br /> Existme Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variaace Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />