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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: yo i v (3Ati5i �� �� <br /> PID: <br /> DESCRIPTION OF WORK: /vL?v� �7�vv�- �S�'l�cn��.t� o �--4 c�=� � s n.�� <br /> - -____� � _ �----- <br /> ------------------------------------------- . U Y -- <br /> ZOY�G REVIEW BY: CQ.�._ DATE APPROVED• 6• 1 <br /> BUII�DING REV�W BY: DATE APPROVED: �- 1 -o Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓' No <br /> PLA��1 REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <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: <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.fr. Acres Width Dep[h <br /> Survey Submitted: Yes ,c No Date of Survey: y-�i-o `f <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> /vo Gc-f►�r5� <br /> Rear (Street): Left Side: <br /> Adjacent Structures: �� � �Vetland: — <br /> Building Height: Def. Hgt. o •lL Pealc Hgt. <br /> Lot Coverage: n1 � C_ <br /> Grading: Staff Approval Date: — /►!�L By: Council Approval Date: <br /> Septic: Staff Approval Date: /�l�L By: <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: �U <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1Q00' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />