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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z zti 5 51-}v4✓J�w o�� <br /> PID: <br /> DESCRIPTION OF WORK: (3t�.-tlrt �Z.Cwc�.c,pL-Z <br /> ZO.�i 1G REVIEW BY: /� DATE APPROVED: <br /> BUII.,DING REVIEW BX: DATE APPROVED; Z -z�( -��{ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTTON <br /> � STATE SURCHARGE Yes � No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECT'ION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: �vo c f-F,4.�v�..e . <br /> Fire Department: Post O�ce: 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: Wetlan <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Set ack: L.ot Coverage: <br /> Ezisting i Proposed <br /> Hardcover. 0-75' �_ <br /> 75-250' <br /> 250-500' � <br /> 500-1000' _� <br /> Hardcover Variance Required: Yes 1�10 Date of Council Approval: <br /> REMARKS (in house): `� <br /> , 7 <br />