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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> . ADDRESS OR LEGAL: ��Q�Cj 5 N.r4dJt,r c,�,oo c� <br /> PID: . <br /> DESCRIPTION OF WORK: ���,p�r� (< <Tc�..,,., <br /> ZONING REVIEW BY.• DATE APPROVED: ,�.Z .o y � <br /> BUILDING REVIEW BY: DATE APPROVED: . -��Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated B�: <br /> PERMIT Yes c�` No <br /> PLANREVIEW Yes� No SEWER C0IVNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONIVEC770N <br /> INVEST7GATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPEG'170N <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: U <br /> Fire Deparnnent: Post Ofjice: School District: <br /> Lot Area: Sq;ft. Acres h Depth <br /> Survey Submitted: Yes No� ate of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wet . <br /> Building Height: Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By Council Apprm�al Date: <br /> Septic: Staff Approval Date: By <br /> Zoning File: # Resolution: # Resolution Dase: <br /> Shoreland District: <br /> Avg.Setback: Bluff Setback. Lot Coverage: <br /> Fxisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> asasoo� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Cowacil Approval: � <br /> REMARKS(in house): <br /> 32 <br />