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�' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S 2 S S�s s�x c�2 c.uc" <br /> PID: <br /> DESCRIPTION OF WORK: _f,��gs�,��?- �',,�„s� <br /> ZO.�TING REVIEW BY: DATE APPROVED: ?-t�• n z <br /> BUII..DING REVIEW BY: DATEAPPRUVED: � -i o -oZ, <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes v� No SEWER CONNEG"I'ION <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <br /> IiWESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning Districr. N v t -{� . <br /> Fire Departmenr. Post Office: Schoal District: � <br /> Lot Area: Sq.ft. Acres idth 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: Wetlan <br /> Building Height: Def. Hgt. Peak H . <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot 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 /> 7 <br />