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; � <br /> S ; <br /> � CHECK OFF LIST FOR ISSUAI�ICE OF PERi�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: <br /> •PID: <br /> DESCRIPTION OF WORK: <br /> Z0�1ING REVIEW BY: D�TE APPROVED: <br /> BUII�DING REV�W BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> pLAN REVIEW Yes No SEWER CONNEC']CION <br /> STATE SURCHARGE Yes No «'ATER COl�fNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOti�Il�1G CHECK LIST Zoning District: <br /> Fire Departmen[: Post Office: School Disuict: <br /> Lot Area: Sq.ft. Acres Width �p� <br /> Survey Submitted: Yes No Date of S�-vey: <br /> Proposed Setbacks: <br /> Front (Lake): Righc Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wedand: <br /> Buildin� Heig,ht: Def. Hg[. Peak 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 District: <br /> Av�. Setback: Bluff Setback: L.ot Covera�Qe: <br /> Ezistino Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' " <br /> 500-1000' <br /> Hardcover Variance Required: Yes Iv'o Date of Council A�proval: <br /> REMARKS (in house)• _ <br /> 7 <br />