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CI3ECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t S�5 �,�q� (`I r�v c_:. i�� <br /> PID: <br /> DESCRIPTION OF WORK: i?��v���Z <br /> ZO�1G REViEW BY: D�TE APPROVED: i� -1 2 -�3 <br /> BUII�DING REVIE`V BY: ', D�TE APPROVED: � � � Z -�7 <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No ,:/ SEWER CONNECTION <br /> STATE SURCHARGE Yes :/ No SVATF.RCONNECI'ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: �i C _��fi4it.C:J �. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Sun'ey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): I,eft Side: <br /> Adjacent Structures: Wet and: <br /> Building Hei?ht: Def. Hgt. Pe •Hgt. <br /> L,ot Coveraoe: <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. Se[back: Bluff Setb k: L.ot Coverage: <br /> Ezistina Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o I?ate of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />