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' , ' t <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �((,c� �1�A�y W c�o� 20�a�p <br /> PID: � <br /> DESCRIPTION OF WORK: Z r��p �,,�R.c� J�vO�A t no n1 <br /> ZONING REVIEW BY.•---�i' - " _ ---wW------DATE APPROVED:---g-�i��o/----- <br /> BUILDING REVIEW BY.• DATE APPROVED: q_��-�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLANREVIEW Yes � No " SEWER CONIVECTION <br /> STATE SURCHARGE Yes_� No WATER CONNECT70N <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes 'No � ' SITE INSPEC770N <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /l�o c H-rtst/GC..s <br /> Fire Depanment: Post Office: School District: � <br /> Lot Area: Sq ft. Acres �dth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Sid : <br /> Rear (Street): Left Side: <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. P ak Hgt. � <br /> Lot Coverage: <br /> Grading: Sta}j`'Approval Date: Council Approval Date: <br /> Septic: Staff Approval Date: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg.Setback: Blu,,�'Setback Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> Zsasoo� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Dare of Council Approval: <br /> REMARKS(in house): <br /> 32 <br />