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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: __�Z��t 6 Cytsc-� c.�✓�.c.�.�: <br /> PID: <br /> DESCRIPTION OF WORK: N t�-z� �La i�,,.r� ,���w� ,q.,�,� o ecu <br /> - , <br /> ZO.Yi�i TG REV�W BY: DATE APPROVED: y- 30 -oZ <br /> BUILDING REVIE`V BY: DATE APPROVED; �{- 3 a -02 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�VIIT Yes ,/' No <br /> PLAN REVIEW Yes �/' No SEWER CONNEC"ITON <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 /> ZONING CH�CK LIST Zoning District: �v C�-��� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peal: gt. <br /> Lot Coverage: <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 Setback: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): (LF�PcA c.P,v c, (�.��•�c�s r=�?rv-c_Q ,�-,v✓� srvw I �( llec.�c <br /> /�lv.'Y� o.,-� c,Zi �5-�—�,.�G %���u..-e-. <br /> 7 <br />