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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY ' <br /> ADDRESS OR LEGAL: 3�� (�M,4� • <br /> PID: <br /> DESCRIPTION OF K'ORX: -r,v�rQ- �, �� ��W���S <br /> ZONING REVIEW BY.• IV I DATEAPPROVED��u <br /> BUILDING REi�IEW BY: � (,�,,,.._-- DATEAPPROT�ED: Z- z 3-o�j <br /> FEES TO BE CHARGED: Misc_ Fees Calculated By: � Y � � � <br /> PERMIT Yes_� No <br /> PLAN REVIET�Tj Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE �'es_f� No u'ATER CONNECTIO�' <br /> INVESTIGATIOIV FEE �es No PARK FEE <br /> SA C Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: �tJ o C(-�,� � ~ YY � �� M <br /> � <br /> Fire Depm•tment: Post O�ce: School District <br /> Lot Area: Sq ft. Acres Y6idth Depth <br /> Survey Sz�bmitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> .9djacent Structiu-es: N'e land: <br /> Building Height: Def. Hgt. P ak Hgt. <br /> Lot Coverage: <br /> Grading: Slaff Approval Date: By: Council Approval Date: <br /> Septic: StaffApproval Date: j, <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: AICGID Pe�mit: <br /> Avg. Setback: BlzrffSetback: LotCaverage: <br /> Faisting Proposed <br /> Har•dcover: 0-7�' <br /> ?S-?�0' <br /> ,so-sno� <br /> .i 00-1000' <br /> Hardcover !"a�•iance Required: 3'es N'o Date of Cozn�cil,9pp�roval: <br /> RE'NLARIiS(iir Izouse): <br /> �3 I <br /> �, <br />