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' � CHEC]K OFF i,IST FOR ISSUANCE OF PE�'VfITS <br /> FOR OFFICE USE O LY <br /> ADDRE�S OR LEGAL: OO �� <br /> PID: <br /> DESCRIPI�TON OF WORK: dv�al <br /> --- ---------____--_---_------------- <br /> ZOV�G ���'V BY: DAT'E APPROVED: �o <br /> BUII�DING REVIEtiV BY: DATE APPROVED: 6 - I —b b <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes / No <br /> PLAN REVIEti� � Yes No � SEtiVER CONNECTION <br /> STATE SURCHARGE Yes _� No tiVATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ------------------------------------------------------ <br /> ZO�II�IG CHE.CK LIST Zoning District: � �Gv��vi� �SS�2S. <br /> Fire Department: Post Office: School District: <br /> I,ot Area: Sq.ft. Acres Widch Dep[h <br /> 5urvey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: . . <br /> Froa[(Lake); Right Side: <br /> Rear(Stree[): Left Side: <br /> ?.����P�r .Crn�cb�re�: �Vetland: <br /> Buil�ling Hei�t: Def. Hgt. Peak Hgt. <br /> Lot Covera�e: <br /> Gradino: Staff Approval Date: By: Council Approval Date: � <br /> Septic: Staff Approval Date: �� " � � ��e-A �Y� ___�.�i..�� <br /> Zoaing File: � Resolutioa: # Resolution Da[e: <br /> Shoreland Districc <br /> Av�. Setback: Bluff Setback: L.ot Covera�e: <br /> E�isting Proposed <br /> Hardcover: G-75' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1Q00' <br /> Hardcover Va�iance Rzquired: Yes No Dace of Council Approvzl: <br /> l�E�L4RKS (inhouse): <br />