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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 3 0 0 6'� Igw I'�l c <br /> PID: <br /> DESCRIPTION OF WORK: 3 s���9 S t+�e«-,eL <br /> ZO.�tG REVIE`V BY: DATE APPROVED: 5- ��-dS <br /> BUILDING REV�W BY: DATE APPROVED: �_�� -o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW � Yes � No SEWFIZ CONNECI'ION <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 /> ZONI�TG CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes� No Date of Survey: 0 n< <��c.�: <br /> Proposed Setbacks: <br /> Froat(Lake): y v0� + Right Side: Zoo � '�' <br /> Rear(Street): 75 � Left Side: 15� <br /> Adjacent Structures: S U Wetland: N/►9 <br /> Building Height: Def. Hgt. � ,�� Peal:Hgt. <br /> Lot Coverage: I� �A <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: !# Resolution Date: <br /> Shoreland District: �IC� <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' � <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />