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C�-iEC� OFF i�IST FOR ISSUANCE O�' �'ERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �U S O (V (.3(Zo w� 1�� <br /> PID: <br /> DESCR�TION OF WQRK: �ns cv►-.a.-� (2-�-rw�d-e.�- <br /> ------ --- -------_�_________-------- <br /> ZOV�IG REVLE�V BY: DAT'E APPROVED: .v/� <br /> SUII�DING REVIEtiV BY: DATE A.PPROVED: ti-/sB-a;6 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes ,/ No SE`�ER CO�TNECTION <br /> STATE SURCHARGE Yes � No WATERCOi�NECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ----------------------------------_—_--------------------------------------------- <br /> ZOt�T��IG CHE.CK LIST zoning Discrict: /Uv G��-e. <br /> Fire Department: Post Office: School District: <br /> L,ot flrea: Sq.ft. Acres Widch DepCh <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 /> Builuin� Heighc: Def. Hgt. Peal:Hgt. <br /> Lot Covera�e: <br /> Grading: Scaff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zonin' File: # Resolutioa: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Ezistin� Proposed <br /> a <br /> Hardcover; 0-75' <br /> 75-250` <br /> Z�0-500' <br /> SOQ-lOQO' <br /> Hardcover Variance Required: Yes No Dace oi Council Aporoval: <br /> RE`LARKS (in house): <br /> � <br />