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. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: 3 Z Zat �3 C�+sc..� G�rZ� <br /> PID: <br /> DESCRIPTION OF WORK: �?.r,-v�•.,��cr� �(Io2�� o �-�- l.�e�- <br /> ZOv1�ti G REVIE`V BY: DATE APPROVED: � -�y-a y <br /> BUII,DING REV�W BY: , ..�.-- DATE APPROVED: 6 - r Y- �Y <br /> �EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes ,/ No SEWER COiVNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECT'ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONI�tG CH�CK LIST Zoning District: �_G_���i��.e <br /> Fire Department: Post Office: School Dis[rict: <br /> Lot Area: 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 /> Adiacent Structures: etland: <br /> Buildin; Height: Def. Hgt. Peal:Hgt. <br /> Lot Covera;e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> ZoninJ Fue: # Resolu[ion: # Resolution Date: <br /> Shoreland Dis[rict: <br /> Avg. Setback: Bluff Set ack: L.ot Covera�e: <br /> Eustin� Proposed <br /> 0 <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�IARKS (in house): <br /> � <br />