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. <br /> A CHECK OFF LIST FOR ISSU 'CE OF PERI�IITS <br /> � FOR OFFICE USE NLY <br /> �DDRESS OR LEG�L: �//�'S� t1n • � � PID: C�(� -��7 ' �3 1� � c� �Z <br /> DESCRIPTION OF �VORK: �-�-� — C"-G <br /> ------------------------- <br /> Z0�1ING REVIE`V BY: ;, . �%�..�.,-� DATE APPROVED: � -i y `t� <br /> BUILDING REVIE�V BY: �,,L_.� DATE APPROVED: � - r K -G c. <br /> --------------------------- <br /> FEES TO BE CHARGED: Mi c. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes .�� No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------- ------------------------------------------- <br /> ZONI'i�1G CHECK LIST Zoning District: r�`-i� Shoreland District : �i�5 <br /> /Fire Department: Post Office: School District: <br /> �� < <br /> t.� \�\Lot Area: Sq.ft. Acres Wid Depth <br /> Survev Submitted: Yes v� No Dat of Survey: oN c"� �. <br /> Proposed Setbacks: <br /> �ent (Lake): �-{c;K�� ;' Right Side: ( I U � <br /> � <br /> -�eat (Street): �1�� , i" Left Side: 1 `10 <br /> Adjacent Structures: �U � '}' Wetland: I-� �� <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> �00-1000' <br /> n' ��L , <br /> 1" i�' � Hardcover Variance Required: Yes No Da[ of Council Approval: <br /> �� B Council A roval Date: <br /> � Grading: Staff Approval Date: Y� PP <br /> ISeptic: Staff Approval Date: BY� <br /> � Zoning File: # Resolution: �# Resolution Date: <br /> \. <br /> REMARKS (in house): <br /> 26 <br />