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, ' CHECK OFF LIST FOR ISSUANCE OF PERiI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z l�`1 S I-I r�Y_`.�l w�;r r:._� 1������ <br /> PID: <br /> DESCRIPTIONOFWORK: ��,--�-t�°`�u,r` i��:�l-�,��� <br /> --------------------------------------------------------------------------------------------------------------- <br /> ZONING REVIEW BY: 1"V �'� DATE APPROVED: <br /> BUILDING REVIEW BY: � ,y � DATE APPROVED: _� • b � �; 7 <br /> ------------------------------------------ � ---------------------------------------y:------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated B <br /> PERMIT Yes �-- No <br /> PLAN REVIEW Yes �- No SEWER CONNECTION <br /> STATE SUR�HARC� Yes ,/ No WATERCONNECITON <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> �Z0�1IltiTG CHECK LIST zoning District: <br /> ` Fire Department: Post Office: School District: <br /> � Lot Area: Sq.ft. Acres Width Depth <br /> � Survey Submitted: Yes No Date of Survey: <br /> IProposed Se[backs: <br /> I Front (Lake): Right Side: <br /> I <br /> � Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Heigh[: Def. Hgt. Peak Hgt. <br /> ^1,� <br /> I" <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 /> j Shoreland Dist:ict: _ <br /> � Avg. Setback: Bluff Setback: Lot Coverage: <br /> s <br /> 'i Existing Proposed <br /> Hardcover: 0-75' <br /> • 75-250' <br /> ��f . 250-500' <br /> : <br /> 500-1000' <br /> � Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />