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CHECaK OFF i,IST FOR ISSUANCE OF �ERIVIITS <br /> F�R OFFICE USE ONLY <br /> ADD�tESS OR LEGAL: Z�Z l E'�4s� Po�N � �°i9'►'� <br /> PID: <br /> DESCRTP`I'�iON OF WQRK: ,c�,��A na�✓ ���✓� — <br /> ZO.VI�Ti G REVLE`V BY: r--- N�rA DATE APPROVED: <br /> SUII,DING RE'�IE`V BY: DAT'E APPROVED: �- zo-p,6 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIE�V � Yes No �/ SE`�E.R CO�iNECTION <br /> STATE SURCHARGE Yes �/ No WATER COi1NECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Uruts OTHER (specify) <br /> ------------------------------------------------------------------------------- <br /> ZO�tI11tG CHE.CK LIST Zoning Districc: �� c'��+'^`� <br /> Fire Department: Post O�ce: School District: <br /> Lot Asea: 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 Si e: <br /> Adjacent Structures: Wetland: <br /> Building Heigb.c: Def. Hgt. eal:Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoainj File: n Resolutioa: # Resolution Date: <br /> Shoreland DiStrict: <br /> Av�. Secback: Bluff Setb ck: Lot Covera;e: <br /> Eusti.ng Proposed <br /> Hardcover: 0-75 <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Varia_nce Required: Yes ho Da�e oi Council Approval: <br /> RE`�LARKS (in house): � <br />