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, <br /> * . ` <br /> ► CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ zti-t � s►-��v�i i•.� - <br /> PID: <br /> DESCRIPTION OF WORK: (k„�,,��z /IC►T G[�t-P..� f 2 �.4rws <br /> �___w������ �-�-��� ____���____������__��__����___�_��__�����_�����_��.._�_�_����_��_ <br /> ZONING REVIE'W BY: DATE APPROVED: �/� <br /> BUII.DING REVIEW BY: DATE APPROVED: q.�g-�Z. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes !� No SEWER COrfNECTTON <br /> STATE SURCHARGE Yes _� No WATERCOrfNECTION <br /> INVESTIGATIOI� FEE Yes No . PARK FEE <br /> � SAC � Yes No SITEINSPECTION <br /> Number of SAC Units � . � OTHER (specify) <br /> _____________________________________________��---------------------------------------------------------------- <br /> ZONING CHECK LIST Zoning District: No G/.�6� <br /> Fire Depaztment: Post Office: School District: <br /> Lot Area: Sq.R. Acres dth Depth <br /> , <br /> Survey Submitted: ! Yes No ate of Survey: <br /> � <br /> Proposed Setbacks: ; <br /> Front(Lake): ; Right Side: <br /> Rear(Street): � Left Side: <br /> Adjacent Struc�ures: Wetland: <br /> Building Height: Def. �$gt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approva�Date: By: Council Approval Date: <br /> Septic: Staff Approval l�ate: By: <br /> i, <br /> Zoning File: #_� Resolution: # R solution Date: <br /> Shoreland District: I <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing 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 housd): <br /> 7 <br />