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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y� S v sS G x (�R�v�: <br /> PID: <br /> DESCRIPTION OF WORK: _��� K <br /> ZO�G REVIEW BY: DATE APPROVED: 5 � �o •5 S� <br /> BUILDING REVIEW BY: DATE APPROVED; S-/o- 9�i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes '� No SEWER CONNECTTON <br /> STATE SURCHARGE Yes r/ No WATERCONNECTTON � <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STfEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST N Zoning District: ��' (3 <br /> Fire Department: L._C-. Post Office: �.• C.- School District: (�(Lo�� <br /> Lot Area: Sq.ft. /UO �r� Acres — Width — Depth � <br /> Survey Submitted: Yes_�C No Date of Survey: Dn� ���% I 2'�5'g`�( <br /> Proposed Setbacks: , <br /> Front(Lake): 11 S' Right Side: �� <br /> Rear(Sueet): ( 3S� Left Side: ��� <br /> Adjacent Structures: i47T14thF�� Wetland: N�/�- <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> � Septic: Staff Approval Date: By: <br /> � <br /> (L,�` Zoning File: # Resolution: # Resolution Date: <br /> 0 <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />