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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: �!�[�S 5(�oR.EL i r� � �2 � � <br /> PID: <br /> DESCRIP'I'ION OF WORK: S�b►��A G r2 <br /> ZOVPIG REY�W BY: �'�� i-� �- ~ N DATEAPPROVED: �- 31- �3 <br /> BUII.,DING REV�`i�BY: DATE APPROVED; � � � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER11iIIT Yes � No <br /> PLAi�T REVIEW Yes �/ No SEWER CONNECITON <br /> STATE SURCHARGE Yes �/ No WATERCONNECI'ION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONiNG CI�CS LIST Zoning District: C� ;L� _ . <br /> Fire Department: � Post Office: 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 Si e• � <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: Net d: . <br /> Building Hei�ht: Def. Hgt. Pe •Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb k: I.ot Coverage: <br /> � Existmg Proposed <br /> Hazdcover: 0-75' . <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Date of Council Approval: <br /> REI�ZARKS (in house): �� <br /> � . . . <br />