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CHECK OFF LIST FOR ISSUA��TCE OF PERiI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3 2 3't C A 5 c.o Po, �v'� 120�-,o <br /> PID: <br /> DESCRIPTION OF WORK: Qy_� Se.yy�- k=,n�is l�t <br /> ZO�.VI�i'G REV�`V BY: N�� DATE APPROVED: <br /> BUII.DTi�tG REVIE`V BY: .,G DATE APPROVED: � -• 3 -�v <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c/ No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <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 /> ZOr�YG CH�CK LIST Zoning District: /'�� C�-���y'� _ <br /> Fire Department: Post Office: School Districr. <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: tland: <br /> Building Heigh[: Def. Hgt. P �Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approv�l Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: f# Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setba k: I.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 250-500' <br /> 500-1Q00' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�iARKS (in house): <br /> 7 <br />