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C�CK OF�' LiST FOR ISS�JANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z9 �2 C�sc� Po��r� <br /> PID: <br /> DESCRIPTTON OF WORK: C��—�s c.��,�r,✓� <br /> ------- --- ------- --_-�-�-- '�'-- -------------------------------------�-------3-=--------- <br /> ZO�tPi TG REV�`V BY: Cl1�..--- DATE APPROVED• z o co <br /> BUILDING RE��V BY: DATE APPROVED: 2� 3 -o CA <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW � Yes _� No �� SEWER CO�INECTION <br /> STATE SURCHARGE Yes ,/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �� PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------____------------------------------------------------------------------------ <br /> ZONIVG CH�CK LIST Zoning District: o � <br /> Fire Depar[ment: Post Office: School District: <br /> I,ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Righ[Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. Peal: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 District: <br /> Av�. Setback: Bluff Setba k: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-SQO' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REviARKS (in house): <br /> 7 <br />