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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y 5�/5 L.�A yz�n9 �c.v✓.� ,� <br /> PID: � <br /> DESCRIPTION OF WORK: �;n.�sN ,�A�s /Lva.�— ` <br /> ZOVPTG REVIEW BY: /�/lA� DATE APPROVED: <br /> BUII..DING REVIEW BY: DATE APPROVED•, q-�-�` <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ci' No <br /> PLAN REVIEW Yes �' No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CK LIST zoning Districc: /t/Y C�(/�� . <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 /> Reaz(Street): Left Side: <br /> Adjacent Structures: We and: <br /> Building Height: Def. Hgt. Pe �Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback. I.ot Coverage: <br /> Existing Proposed <br /> Hazdcover: 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 /> � <br /> 7 <br />