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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFFCE USE ONLY <br /> A.DDRESS OR LEGAL: 2 85a 5 0���� �-�n)c <br /> PID: <br /> DESCRIPTION OF WORK: 5-�-,�c c� �-��o,q,(t <br /> ZO,Y�YG RE'VIEW BY: N I� DATE APPROVED: <br /> BUILDIl�G REVIEW BY: DATE APPROVED: /o -z til-o S` <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 WATERCONNEC'TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOl�]Ii�TG CHE.CK LIST Zoning District: N'a G b�'�iF,�/+�yQ <br /> - lJ <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.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: etland: <br /> Building Height: Def. Hgt. P al:Hgt. <br /> Lot Covera�e: <br /> Gradino: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoni.ng File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setb ck: Lot Coverage: <br /> Existin, Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> � <br />