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s - • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �q�O S��.r� /Iv� NO . <br /> PID: <br /> DESCRIPTION OF WORK: S'G2��u 4 , <br /> ZO.vI�ti G REY�W BY: DAT'E APPROVED: 7-2l-o�' <br /> BUII.DING REVIEW BY: DAT'E APPROVED: 7•��.. o s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW � Yes �/' No SEWER CO�TNEC"ITON <br /> STATE SURCHARGE Yes �/ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No �/' PARK FEE <br /> SAC Yes No �' SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOYIVG CH�CK LIST Zoning Districr. <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes eC No Date of Survey: 6•�3•�fV <br /> Proposed Setbacks: <br /> � <br /> Front(Lake): 28� t Right Side: IS'0 't <br /> Rear(Street): ��� � "t Left Side: t 0� � t <br /> Adjacent Structures: A�+-naG H�;."� Wetland: N 1 A <br /> Building Height: Def. Hgt. �.�G Peak Hgt. <br /> Lot Covera�e: N 1 A <br /> Grading: Staff Approval Date: —• By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland Dis[rict: �Vo <br /> Av�. Setback: Bluff Setback: LotCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REVIARKS (in house): <br />