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. ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l 210 A R�30�Z S i <br /> PID: <br /> DESCRIPTION OF WORK: (���p� (L�P�t�.r�v�o�,,,� <br /> ZONING REVIEW BY: /tl F DATE APPROVED: <br /> BUILD�TG REVIEW BY: .� DATE APPROVED: ��- Y—g� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes t/ No <br /> PLAN REVIEW Yes No z� 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: Nv C Gti`�r�� <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. P Hgt. <br /> L.ot Coverage: <br /> Grading: Staff A�pprqval,Date:, . _ y: Council Approval Date: <br /> Septic: Staff Approval Date: y: � � � <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback 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): <br /> 7 <br />