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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z+� 43 5t�6A 2w o o✓� d R• <br /> PID: <br /> DESCRIPTION OF WORK: l owt� C.CvcsL G���sH <br /> ZO�TIIIG REV��V BY: DAT'E APPROVED: 9-?�- o� <br /> BUII�D11tG REVIE`V BY: DATE APPROVED; c,-u� .oK <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNiIT Yes �/ No <br /> PLAlv REVIEW Yes � No SEWFR CONNEC"IION <br /> STATE SURCHARGE Yes � No WATERCONNECT'ION <br /> INVESTIGATION FEE � Yes No _/ PARK FEE <br /> SAC Yes No �" SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> Z0�1ING CH�CK LIST Zoai.ng District: /Vo C biAN6 e �, <br /> Fire Department: Post Office: School District: � <br /> Loc Area: Sq�.ft. Acres ' Width Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Progosed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjaceat Structures: �Vetl . <br /> Building Hei�ht: Def. Hgt. Pe Hgt. <br /> Lot Coveraoe: <br /> Gradino: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: $Y: <br /> Zoning File: # Resolution: # Resolution Date: _ � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac : LocCovera�e: <br /> g���e Proposed <br /> Hazdcover: 0-75' . <br /> 75-250' .---.-- <br /> 250-500' <br /> 500-1d00' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />