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. �, <br /> ' CHECK OFF LIST FOR ISSUANCE OF PERlI'IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (U'z..o N o R n� c3 2 o v�nt iZA�a�/J <br /> PID: <br /> DESCRIPTION OF WORK: R�:w�•�+��.Z — <br /> ZO�tING REVIEW BY: DATE APPROVED: /- 2�, -t�/ <br /> BUILDING REV�W BY: DATE APPROVED: 1- Z� -o ( <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/' No <br /> pLAN REVIEW Yes r� No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOti�ING CHECK LIST Zoning Disuict: /'l!c, G�-H4r^�G C� <br /> Fire Departmen[: Post Office: 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: Wetl d: <br /> Building HeiQht: Def. Hgt. Peak gt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution Date: . <br /> Shoreland District: <br /> Av�. Setback: Bluff Setback: Lo[Coverage: <br /> Existin� Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REVIARKS (in house): <br /> 7 <br />