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CAECK OFF LIST FOR ISSUANCE OF PERti�IITS <br /> FOR OFFICE USE ONLY • . <br /> ADDRESS OR LEGAL: 23?-0 ��.}q�c�wc�o 0 1�� <br /> PID: <br /> DESCRIPTION OF WORK: f�p��,�� ����s�-r -- <br /> ZO�'G REVIEW BY: ~ DATE APPROYED: 2 -2- na <br /> �. BL'ILDL,iG REVIE�V BY: � � DATE APPROYED; � - 2- �� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> pLAN REVIEW Yes �' No SEWER CONi�'F.CITON _ <br /> STATE SURCHARGE Yes �' No �VATF.RCOiv�'vECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEI�i TSPECTION <br /> Number of SAC�Units OTHER(specify) <br /> Nr ___ ___ <br /> ZO`Z`�'G CH�CK LIST Zoning District: � . <br /> Fire Department: Post Office: School DSLLict: • � <br /> Lat Area: Sq.ft. Acres ' Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front(Lake): Right Side: � � � . <br /> Rear(Street): Left Side: <br /> Adjacent Structures: We land: <br /> Building Hei�t: Def. Hgt. Pe 'Hgt• <br /> Lot Covera;e: ' <br /> Grading: Staff Aoproval Date: Council Approv�l Date: <br /> Nv Qeet.w.•M.�, <br /> Sepdc: Staff Agproval Date: �� <br /> Zoning File: # Resolution: # Resoludon Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setbac : L'°�C°�=�e= . <br /> . Ezistmg Progosed <br /> Hardcover: 0-75' . <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of CouncL Approval: <br /> RE��IARKS ('in house): � <br /> 7 <br />