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CHECK OFF LIST FOR ISSUAi�10E OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 2Z� /� G4 s� Po ��� G,u� <br /> PID: <br /> DESCRIPTION OF WORK: �"Z�;� d�Z <br /> - --------------- ---------- --C/��_-----------------------------------�----��--�-�-- <br /> ZOrT�ti G REV�W BY: ,. DATE APPROVED• '� 2. -t�� <br /> BUILDING REVIE`V BY: DATE APPROVED: 7- z -� � <br /> FEES TO BE CHARGED: �isc. Fees Calculated By: <br /> PERII�IIT Yes �/ No <br /> PLA��1 REVIEW Yes � No SEWER CONNECITON <br /> STATE SURCHARGE Yes _� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOt�1I�G CH�CK LIST Zoning Districr. �v v G Et'►'�y.rc�� <br /> Fire Department: 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 Sid : <br /> Rear (Street): Left Side: <br /> Ad;acen[ Structures: edand: <br /> Building Hei?ht: Def. Hgt. Peal:Hgt. <br /> Lot CoveraJe: <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 /> Avg. Setback: Bluff Se ack: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />