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, , CHECK OFF LIST FOR ISSUANCE OF PER.11�IZTS <br /> 4 � <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: _ 3'tv0 SNc�c2EC.rwc: �2�v� � <br /> PID: <br /> DESCRIPTIONOFti'VORK: _ SldNid�G►� � �¢.s,,,,v�� <br /> ----------------------------------� -------------- <br /> ZO�iYG REVIEti� BY: + DATE APPROVED. �- Z — 98 <br /> BUII.,DT�i tG REVIE�� BY• DATE APPROVED: �?-� Ze�-9P, <br /> � � -------------------------------=- <br /> �EES TO BE C�-iARGED: - Misc. Fees Calculated By: <br /> PERMIT Yes t/' No . <br /> PLAN REV�W Yes� No� SEWF..�t CONNECTION <br /> STATE SUR`H�,�G� Yes �' No WATER CO'vNECITON <br /> INVESTIGATION-FEE Yes,,,�� . No v. PARK FEE <br /> SAC Yes No � SITETNSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------- ---- <br /> �O�tING CHECK T�IST zoni.ng Districr. g �� <br /> Fire Depar�ent: Post O�ce: ���� School District;/�„r,�.�Q <br /> Lot Area: Sq.ft._/1rU ClFAnlfs� Acres tiVidth Depch <br /> Survey Submitted: Yes No�_ Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): . N��- ht Side: � <br /> Reaz(Street): Left ide: r� � <br /> Adjacent Structures, tiVetland: <br /> Yv <br /> Building Hei�ht: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: $y: Council Approval Date: <br /> Septic: Staff Approval Date: gy; • <br /> Zoni.ng File: # Resolution: # Resolution Date: • <br /> . � �. <br /> Shoreland Dis[:ict: � � � <br /> Avg. Setback: Bluff S tback: L,ot Coverage: <br /> Ezistin Proposed � <br /> Hardcover: 0-75' <br /> 75-250' . - � <br /> 250-500' . <br /> 500-1OQ0' <br /> _ Hardcover Variance Required: Yes No Date of Council Approval: <br /> � <br /> RE1I�ZARKS (in house): <br /> � � � � <br /> , ' � Z�. .26 : <br />