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. ._ . . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 'sZ`13 C+A s�=-� �-�:z�-.�.�= <br /> PID: <br /> DESCRIPT�ION OF WORK: c�4 tu= (-F cc��3 5�4�,2 <br /> ----------- ---------------- -- - ---------- - 9 - <br /> ZONIl�TG REVIEW BY• ,,�,.�-- DATE APPROVED: � �"� <br /> BUII�DING REV�W B . DATE APPROVED: <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes �// 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 /> -------------------------------------------------------------------------------------------------------------------- <br /> ZOr�VG CHECK LIST Zoning District: /�'� C-��M� ��' �-' _ �� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.f[. Acres Widrh 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: Wetlan : <br /> Building Hei�ht: Def. Hgt. Peal:H t. <br /> Lot Covera�e: <br /> Gradin�: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # solution Date: . . <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.otCoverage: <br /> Exis[ing 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 /> REv1ARKS (in house): �� <br /> 7 � <br />