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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 10 0 W co\-\u R s Z-2A► t _ <br /> PID: <br /> DESCRIPTION OF WORK: -re-)-np <br /> ZONING REVIEW BY: /� DATE APPROVED: t©-3•cs-g <br /> BUILDING REVIEW BY:/ DATE APPROVED: <br /> FEES TO BE CHARGED: 4QAnwS Mtsc. Fes 5 FesCctiBy ".-3)) <br /> PERMIT Yes // No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: ,vo <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres Width 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: W.tland: <br /> Building Height: Def. Hgt. Pe. •Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: :y: Council Approval Date: <br /> s <br /> Septic: Staff Approval Date: :y: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac : Lot Coverage: <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 /> REMARKS (in house): c-c_ ,'cess <br /> 7 <br />