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. ' CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Zl 1•� �t+t�tq c�o c� <br /> PID: <br /> DFSCRIPTION OF WORB: _ tN�rt.�02 tZC vna r��z <br /> ZONING REV�W BY: /� DATE APPROVED: <br /> BUII�DING REVIEW BY: DATE APPROVED: 4-�t-5 7 <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes _�' No <br /> PLAN REVIEW Yes No v SEWER CONNECITON <br /> STATE SUR:HA�CrE Yes � No WATERCONNECTION <br /> INVESTIGATION-FEE Yes . No PARK FEE � <br /> SAC Yes � No STTEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONIlVG CHECS LIST Zoaing District: <br /> Fire Deparcment: Post O�ce: School District: <br /> Lot Area: Sq.fc. Acres Width Depth _ <br /> Survey Submitted: Yes No Date of Survey: , <br /> Proposed Setbacks: <br /> Front (Lake): . Right Side: <br /> Reu(Street): Left Side: <br /> ��}.' Adjacent Structures: Wefland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: � <br /> Zoning File: # Resolution:# Resolution Date: ' <br /> Shoreland DisL-ict: <br /> Avg. Setback: Bluff Setback: Lot Covenge: <br /> • Existiag Proposed <br /> Hazdcover: 0-75' <br /> 75?SO' . . . <br /> zsasoo� - <br /> 500-1000' <br /> Hardcover Variaace Required: Yes No Date of Council Approval: _ <br /> REMA.RKS('m house): <br /> 26 <br />