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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (SZS S� �T� ,4v-e N • <br /> PID: <br /> DESCRIPTION OF WORK: �3��y�►�-' ��,•��si� <br /> ZO�YG REVIEW BY: DATE APPROVED: <br /> BUII.DING REV�W BY: DATE APPRUVED; r- ?-o z, <br /> w_ �_t_____�- -- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes . No �/ SEWER CONNE�TTON <br /> STATE SURCHARGE Yes ,/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: �/a c�-r���C <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 Side: <br /> Reaz(Sueet): Left Side: <br /> Adjacent Structures: W tland: <br /> Building Height: Def. Hgt. P •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 Disuict: <br /> Avg. Setback: Bluff Setb k: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): <br /> I <br /> � <br /> 7 <br />