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CHECK OFF LIST FOR ISS ANCE OF PERMITS <br /> FOR OFFICE U E ONLY <br /> ADDRESS OR L$GAL: � S SH E'v C.�N t�R� E <br /> PID: ' <br /> DESCRIPTION F WORK ov{ A.+aa � o 0 <br /> ---------------=------t------------ - --- ----------------- -----______------------------------------------------ <br /> ZONING REVIEW BY.• . DATE APPROVED: y-L6 •0� <br /> B UILDING REVIEW BY: DATE APPROVED: <br /> ----------------------«------------------------ --------- __-------------------------------------------__ <br /> FEES TO BE CI�ARGED: Misc. F es Calculated By: <br /> PERMIT Yes � No . <br /> PLANREVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHAR�GE Yes � No WATER CONNECT70N <br /> INVESTIGATION,F'EE Yes No PARK FEE <br /> SAC Yes No SITE INSPEG770N <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECI�LIST Zoning District: <br /> Fire Department: Post Office: School District.• <br /> Lot Area: Sq.ft. Acres Wi th Depth <br /> Survey Submitted: Yes�_ No te of Survey: �_s'��,a ��(e� <br /> Proposed Setbacks: <br /> Front (Lake): � ZS' � '� Right Side: � = <br /> Rear (Street): I ?�O� '= Left Side: v0 � � <br /> Adjacent Structures: +�g � Wetland: � o� 'F' <br /> Building Height: Def. Hgt. �///4 Peak Hgt. — <br /> Lot Coverage:` b.�IG <br /> Grading: Staff Approval Date: �' By: Council Approval Date: <br /> Sepric: Sraff Approval Dare: — By: <br /> Zoning File: # �'—' Resolution:# R solution Date: <br /> Shoreland District: N� <br /> Avg.Setback: Bluff Setback: � Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' . <br /> 500-1000' <br /> Hardcover Vaviance Required: Yes No Date of Council Approval: � <br /> REMARKS(in house): <br /> 3 <br />