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• CI�ECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Zti 7 O S H Ev L�u p2 . <br /> PID: <br /> DESCRIPTIONOFWiORK: ��.�,k �,(���,�, _ r <br /> ZOYIvi G REVIEW BY: DATE APPROVED: s=z y-o�( <br /> BI,TII.�DING REVIEW BY: DATE APPROVED: s-zY-a� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAi�i REVIEW Yes v' No SEWER CONNECITON <br /> STATE SURCHARGE Yes _� No WATER CONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CI�CK LIST Zoning District: N o C Na�r�►,Q i9rJ d �•1c . <br /> Fire Department: Post Office: School District: � <br /> I.ot Area: Sq.ft. Acres idth 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: �Vetland: <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: # esolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> Existin; Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house):. <br /> 7 <br />