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CHECK OFF LIST FOR ISSUANCE OF PERIMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: -A07-0 <br /> PID: <br /> DESCRIPTION OF WORK: (J c=-'r- c cSL C9 v4 Cour <br /> ZONE G REVIEW BY: DATE APPROVED: —2_�f-� <br /> BUILDING REVIEW BY: DATE APPROVED: 4- Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No :. <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZOYLIIG CHECK LIST Zoning District: (ZfL-%4& <br /> Department: Post Office: School District: <br /> G t Area: Sq.ft. 11.1325 �*— Acres Width Dept <br /> Survey Submitted: Yes .e- No Date of Survey: o-, <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hg-t. <br /> L , Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' -- <br /> 500-1000' -- <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> R UNIA.RKS (in house): <br /> 7 <br />