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� <br /> CHE(:K OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2�2 S C✓a-sc.-� (�oc N� 1�.4-c� <br /> PID: _, <br /> DESCRIPTION OF WORK: �v P�., �'�-�P /�a�ic �/��rt� <br /> ZO�tI�'G REVIEW BY: �(/+ DATE APPROVED: <br /> BUII�DING REV�W BY: �,f � �� DATE APPROVED; S - y-vo <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO\T�1i G CIi�CK LIST Zoning District: .vr� G l�v+r�,F ry <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> i <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> � <br /> Building Heioht: Def. Hgt. Peal:�Igt. <br /> Lot Coverage: � <br /> ,I <br /> Grading: Staff Approval Date: By� Council Approval Date: <br /> Septic: Staff Approval Date: By� <br /> Zoning File: # Resolution: # � Resolution Date: <br /> Shoreland District: I <br /> Avg. Setback: Bluff Setback:! Lot Coverage: <br /> Ezisting � Proposed <br /> Hardcover: 0-75' j <br /> 75-250' � <br /> 250-500' � <br /> 500-1000' i <br /> Hardcover Variance Required: Yes No �' _ Date of Council Approval: <br /> I <br /> RE1�IARKS (in house): c�►� �-v is5 �-i < `ti�p G�•�•� �.��c 5 �c c�.-�� <br /> � r- T o�,'T /fi�rv-� c��P o��. <br /> � <br /> 7 <br />