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CHECK OFF LIST FOR ISSUANCE OF PER1tinTS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (94 S TO N wc-AwA f ZO&6 <br /> PID: <br /> DESCRIPTION, OF WORK: S I ow t. <br /> zo,NL'G REVIEW BY: DATE APPROVED: /o • L')- M <br /> BUILDING REVIEW BY: D ATE APPROVED: lo- 147-00 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No :. <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes .i No WATFRCONNECTION_ <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZOIN-r i G CHECK LIST Zoning District: 1-P-- <br /> Fire Department: Lb"6 L'mc.0. Post Office: t Dt4G CAtc t. School District: 01ZW-SID <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_X No Date of Survey: ci- 1'5- <br /> Proposed <br /> S-Proposed Setbacks: <br /> Front(Lake): Ste' f Right Side: S Do` '`' <br /> Rear(Street): ! f' Left Side: Zoo c fi <br /> I <br /> Adjacent Structures: ?�` ♦ Wetland: <br /> Building Height: Def. Hat. O •ice Peak H-t. �• �� <br /> Lot Coverage: N 1 A <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: �J e S <br /> ac Bluff Setback: Lot Coverage: <br /> Avg. Setback-' N 1 A Bl ft S I A <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' _---- <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REINIA.RKS (in house): <br /> 7 <br />