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CHECK OFF LIST FOR ISSUANCE OF PERMITS � ' <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: i y w s�rollL��yvP /J2 <br /> PID: <br /> DESCRIPTION OF WORK: p R,v� w,�.,, Gc�rv sr�c��_ <br /> ZO.vI�Ti G REVIEW BY: DATE APPROVED: s--2�-�� <br /> BUII�DING REV�W BY: -- DATE APPROVED: <br /> FEES TO BE CHARGED: � is N es alculated B�° c���� �W <br /> PERMIT Yes ,i No <br /> PLAN REVIEW Yes No SEWER CONNECIZON <br /> STATE SURCHARGE Yes No WATF�CONNECTTON <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: o <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 S' e: <br /> Rear(Street): Left Si e: <br /> Adjacent Structures: Vetland: <br /> Building Height: Def. Hgt. eal:Hgt. <br /> Lot Coverage: <br /> Gradina: Staff Approval Date: S -2�-n�-( By: �_ Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # —" Resolution: # Resolution Date: <br /> Shoreland District: y�� <br /> Avg. Setback:r— iv�/� Bluff Setback: N i/1 Lot Coverage: d•/L <br /> Eusting Proposed <br /> Hardcover: 0-75' N•9`1 <br /> 75-250' Z y•d y <br /> 250-500' <br /> 500-1000' <br /> Hudcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />