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CHECK OFF LIST FOR ISSUANCE OF PERl�1ITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: Z lo�15 �iA s c�o Po,�r 12o,a p <br /> PID: <br /> DESCR�'TION OF WORK: Gf�2A�c.: /��-o/JGL <br /> ------ ��� ----------- --------------_ <br /> ZO.vI�1i G RE�ZEW BY: � DATE APPROVED: /> �i Z -9� <br /> BUII.DL�1G REVIE`V BY: ,,,�,� DATE APPROVED; �/-�z-g g <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pLAN REVIEW Yes �/' No SEWER CO�INECTTON <br /> STATE SURCHARGE Yes ✓ No `VATII2CONNECIION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> Z0�1G CH�CK LIST Zoning District: /N� c/tr4iv 6 C <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Sid : <br /> Rear (Street): Left Side <br /> Adjacent Structures: etland: <br /> Buildin; Height: Def. Hgt. eak Hgt. <br /> Lot Coverage: ' <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: S[aff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Se[b ck: L.otCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REl�i�iRKS (in house): <br /> 7 <br />