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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I "d GO t,,0 C—S F-Ps t— <br /> PID: <br /> DESCRIPTION OF WORK: p A(Z.tj -v,.,-,2-e.R_ /i - v& <br /> ZONING REVIEW BY: Al IA • DATE APPROVED: <br /> BUILDING REVIEW BY: • DATE APPROVED: 3 . 3 - <br /> FEES TO BE CHARGED: • ' Misc. Fees Calculated By: <br /> PERMIT -Yes v No <br /> PLAN REVIEW Yes No — SEWER CONNECTION <br /> STATE SURCHARGE Yes v- No WA 1 ER CONNECTION <br /> INVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> • <br /> ZONING CHECK LIST Zoning District: /1» C l- }n/G e ~« f <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 land: <br /> Building Height: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: :y: Council Approval Date: <br /> Septic: Staff Approval Date: :y: <br /> Zoning File: # Resolution:# Resolution Date:• • <br /> Shoreland District: _ <br /> Avg. Setback: Bluff Setba.k: Lot Coverage: <br /> • Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' • - <br /> 500-1000' <br /> • <br /> Hardcover Variance Required: Yes N. Date of Council Approval: <br /> REMARKS (in house): <br /> ,26 <br />