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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ,ADDRESS OR LEGAL: k 060 (_k_)VN <br /> PID: <br /> DESCRIPTION OF WORK' RAs M GZ� <br /> ZONING REVIEW BY: All <br /> �_____._—----------------------------------------------------------- <br /> DATE APPROVED: <br /> BtTII,DING REVIEW BY: DATE APPROVED: ro -3/•y <br /> FEES TO BE CHARGED:^ Misc. Fees Calculated By: <br /> PEST Yes � No <br /> PLAN REVIEW . . Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No _1e:L- PARK FEE <br /> SAC Yes No _�/ SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> --------—------—------------------------- <br /> ZOINM IG CHECK LIST Zoning District: /V ? CNA�/cj e <br /> Fire Department: <br /> 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: Wed d: <br /> Building Height: Def. Hgt. Peal: gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: <br /> UA( ty 3(-0C� By: ��s c.�/6 P-�6 "'�`� .S�c�✓vp� <br /> Zoning File: Resolutioa: # Resolution Date. <br /> Shoreland District: Lot Coverage: <br /> Avg. Setback: Bluff Se back: <br /> Ecistin Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-l OCO' <br /> a � of Ci-mcL Approval: <br /> 11a_ucove_ \ c_:aIlc.o Pp-- rae ,es _ <br /> LAS <br /> (in house): <br />