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' � CHECK OFF LIST FOR ISSUAl�TCE OF PER1tiIITS <br /> - FOR OFFICE USE Oi�1LY <br /> ADDRESS OR LEGAL: 4 ZZS F'0��s� c�r� lu� 1D� <br /> PID: <br /> DESCR�TION OF`i�ORK: ,� C3 �„�- o/zT1u•J a� <br /> ' -____-- �S✓.,.0lYTl�n� <br /> ZOrT�i'G REY�`V BY: � DATE APPROVED: <br /> BUII.DI�i IG REV�tiV BY: ' DATE APPROVID: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓� 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 STI'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI.YG CH�CK LIST Zoni.ng Districc: � � <br /> Fire Department: Post Office: School District: <br /> L,ot Area: Sq.ft. Acres �idth 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: �Vetl d: . <br /> Buildin; Hei;ht: Def. Hgt. Pe H;t. <br /> Lot Covera�e: <br /> Grading: Scaff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av;. Setback: Bluff Setb k: I.otCovera?e: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> ?a0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Date of Council Approval: <br /> RE�L�RKS (in house): <br /> 7 <br />