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, CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: �ti�y CA2w�,a� sT <br /> PID: <br /> DESCRIPTION OF WORK: ,�cc� �2 x��-t <br /> ZO�tG REVIEW BY: DATE APPROVED: 6 -z-�3 <br /> BUILD�i 1G REV�W BY: DATE APPROVED: c,-i-�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERil�1IT Yes �/' No <br /> PL?,��t REVIEW Yes �' No SEWER CONNECITON' <br /> STATE SURCHARGE Yes � No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZOi t G CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ,� No Date of Survey: `1'��b '�' o� <br /> Proposed Setbacks: <br /> Front (Lake): ?�o ` '� Right Side: �� � <br /> i ss' � n! <br /> Rear (Street): I�F� be€t Side: �j� <br /> Adjacent Structures: — �Vetland: � <br /> Building Hei?ht: Def. Hgt. — Peal:Hgt. -- <br /> Lot Covera�e: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland Dis[rict: �.,�GS <br /> Ava. Setba� — Bluff Setback: — L.ot Coverage: � <br /> Existina Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' 2► z I o <br /> ' S00-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): _ <br /> 7 <br />