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` <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS � - <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ►q�O c� 2d � — <br /> PID: <br /> DESCRIPTIO�t OF WORK: rJ�c..� <br /> ZO�TPi iG REVIEW BY: DATE APPROVED: S - 9 -o f <br /> BUII�DII�G REVIE�V BY: DATE APPROVED: 5-t� -�� <br /> FEES TO BE CHARGED: ✓, Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW � Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes —� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CK LIST Zoning Districc: <br /> Fire Department: Post Office: School Disuict: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes_o� No Date of Survey: �-�3 •5 ° <br /> Proposed Setbacks: <br /> Front(Lake): Z°��$ � + Right Side: �Y� } <br /> Rear (Street): �S� � �` Left Side: q� � � <br /> Adjacent Structures: N 1 A. Wetl2nd: N 1 r� <br /> Building Height: Def. Hgt. nJ ►,� Pea�:Hgt. "' <br /> Lot Coveraoe: N ��- � <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 /> Av;. Setback: Bluff Setback: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�Q-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REi1�1ARKS (in house): <br /> � <br />