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. ' <br /> � <br /> CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY • <br /> A.DDRESS OR LEGAL: I�y c� �t�l-o4�pU w c�d co , . <br /> PID: <br /> DESCRIPTION OF WORK: l,���p L w s <br /> Z0�1ING REVIEW BY: � l � DAT'E APPROVED: � <br /> BUII..D�TG REVIEW BY: DATE APPROVED: �c� -5-`19 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes No � SEVVER CONNECTTON <br /> STATE SURCHARGE Yes v No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE ' <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: rU� G l-��h^� . <br /> Fire Department: Post OfFice: School District: � <br /> Lot Area: Sq.ft. Acres � idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: Wed d: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: ' <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # Resolution: # Resoludon Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac : Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' ' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />