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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�3z '�' A I7�Ot--t N C. a�re <br /> PID: <br /> DESCRIPTION OF WORK: ,Z,�—y�n,ov>Lz <br /> ZO�'G RE'V�W BY: �,/� DATE APPROVED: <br /> BLTII.DING REVIEW BY: DAT'E APPROVED: �,.�{ _ o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes _� No SEWER COiVNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No 1� PARK FEE <br /> SAC Yes No v SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONIYG CH�CK LIST Zonin;District: �o G! <br /> Fire Departmenr. Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Righ[Sid • <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Hei�ht: Def. Hgt. Pe Hgt. <br /> Lot Covera�e: <br /> Gradino: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Dace: By: <br /> Zonin� File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff S back: L.ot Coverage: <br /> Existin� Proposed <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-SGO' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> RE�LA.RKS (in house): <br />