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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADD$ESS OR LEGAL: 1431 v S W/'t hY W u o�p �'2�/� <br /> PID: <br /> DESCRIPTION OF WORK: (3/�SL rn�-7v�r �=�v�►�st-� <br /> a <br /> ZOtiTi TG REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED; �d-��-c�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAl�T REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes !� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO1V'ING CH�CK LIST Zoning District: /1/l� C!-iAIJG� <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 /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: tland: <br /> Building Height: Def. Hgt. P al:Hgt. <br /> L.ot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb ck: LAt Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />