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� <br /> , <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: i Z,S ► (�,2 i�2 5 T <br /> PID: R-e r�n�r�c_,� <br /> DESCRIPTION OF WORK: �er'�i:-�`r c=--�-� 5�--r�v G (—��n�p,�l�3�0-� ,'� <br /> ZO�G RE'VIEW BY: DATE APPROVED: �? - z 3• �� <br /> BUILDI�IG REV�W BY: DATE APPROVED; � - 2-3- S C <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c�' No <br /> PLAN REVIEW Yes v� No SEWER COivNECITON <br /> STATE SURCHARGE Yes � No WATERCONNEC"ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No o< SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> --------------------------------___---------------------------------------------------------------------------J <br /> ZOi�1Pi tG CH�CK LIST Zoning District: /Z Q � � /� )D C ���j� <br /> � �� <br /> Fire Department: Post O�ce: 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: Wet d: <br /> Buildin� Height: Def. Hgt. Pe Hgt. <br /> Lot Coverage: ' <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. Setback: Bluff Setba k: I.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1Q00' <br /> Hazdcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS (in house): � ��n�o►�ia� -�1 PP/W�P� /�-r� ��vs%�-L�E� �i-�6 g5 <br /> 7 <br />