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CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> _ FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: Z s�o s�x�,., �►..�e. N� . <br /> PID: <br /> DES CRIPTION OF WORK: �'�n�, n,q,,•ste�e R�'�A�2 <br /> ZO�G REY��V BY: � c�,�rrr�f DATE�iPPROVED: � <br /> � BUII.�D�tG REVIEW BY: � DATE APPROVED.; / . �Y�- c�v <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> pL�,rT REVIEW Yes No � SEWER COrfNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INV�ESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECITON <br /> Number of SAC-Units OTHER (specify) <br /> ___________ _______---- ---------- <br /> ZO`Z�'G CH�CK LIST Zoning Districr. N� C tt�-n�Ge <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 /> Rear(Street): Left Side: <br /> Adjacent Structures: Wed <br /> Building Height: Def. Hgt. Peak t. <br /> Lot Coverage: ' <br /> Gradir.�: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esoludon Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> . Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS ('in house): <br /> 7 <br />