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• ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ?°>-�C, ��r 1 s��� (-����,��, ��- i� ...�t F�� <br /> PID: � <br /> DESCRIP'TION OF WORK: ���'<<�,— �,�,r,>� :� �'tc_ �,),_� �_.� <br /> -------------------------------------�'� �-;------------------------------------------------�------��--------- <br /> ZO�1ING REVIEW BY: ' .� � �_�_ ,�-�.�.__-- DATE APPROVED: r <' _�. ; <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> --------------------------------------------------------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �--'" No <br /> PLAN REVIEW Yes No �_.-- SEWER CONNECTION <br /> STATE SUR`HARC� Yes ,;�" No ��-- WATER CONNECITON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> ' ZOtiT_�G CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> 1>, .\ Lot Area: Sq.ft. Acres Width Depth <br /> 'I1�� <br /> V Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> `� Front (Lake): Right Side: ��� <br /> Rear (Street): Left Side: `fi�i � <br /> I Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> r 3` ^I� Zoning File: 1� Resolution: # Resolution Date: <br /> � <br /> ' Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> � 250-500' <br /> 500-1000' <br /> � <br /> Hardcover Variance Required: Yes No Date of Council Approval: _ <br /> REMARKS (in house): <br /> � 26 <br />