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CHECK OFF LIST FOR ISSUANCE OF PERI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 � �15 CV�S C,o V',o,.�,-� (�,o.r, <br /> PID: <br /> DESCRIPTION OF WORK: ��...>�� ,�o� �2r_;�c� c� <br /> _----_------------------------------------------------------------------------------------------------------------- <br /> ZO�TG REVIEW BY: �t%�� DATE APPROVED: <br /> BUILDING REVIE`V BY: . .f�-ti�ATE APPROVED: 3 !�3- S� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes c.� No <br /> PLAN REVIEW Yes No � SEWER CONNECTION <br /> STATE SUR�HARGE Yes c��No WATER CONNECITON <br /> INVESTIGAT'ION-FEE Yes No �' PARK FEE <br /> SAC Yes No �- SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZO��TG �HECK LIST zoning District: <br /> Fire Department: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Widch 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: 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 /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dist:ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-7�' <br /> 75-250' <br /> � 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> � 26 <br />