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. . , <br /> � � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�zs Go (LJ �, <br /> PID: <br /> DESCRIPTION OF WORK: _ �r,czc.�-� <br /> ZONING REVIEW BY: DATE APPROVED: �� -S• �-Z <br /> BUILDING REVIEW BY: DATE APPROVED: �o -�- o -L <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 CHECK LIST Zoning Districr. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�,_ No Date of Survey: 1 1- � p -o i <br /> Proposed Setbacks: <br /> Front (Lake): 6D Right Side: S S' t <br /> Rear(Street): ,355' Left Side: I oo� �= <br /> Adjacent Structures: /ir-�c.t��.^� Wetland: �r//� <br /> Building Height: Def. Hgt. (�.k.. Peak Hgt. <br /> Lot Coverage: N I/� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # — Resolution: �/ Resolution Date: <br /> Shoreland District: W() <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />