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• � r. <br /> � CHECK OFF LIST FOR ISSUANCE OF PERi�IITS <br /> � FOR OFFICE USE ONLY <br /> . ADDRESS OR LEGAL: 2 9 �5 C qsc.,o Po,,,.� (�,� <br /> PID: <br /> DESCRIPTION OF WORK: Qc�.,,,A r�,_,-Z. <br /> ZO�tING REVIEW BY: , DATE APPROVED: y-2 �-03 <br /> BUILDING REV�W BY: DATE APPROVED: y. Z S _03 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes v� No SEWER CONNECTION <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 /> ZOti�ING CHECK LIST Zoning Districr. /�� G��r�,,( <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres W' th Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetlan : <br /> Building Height: Def. Hgt. Peak H t. <br /> Lot Covera�e: <br /> Gradin�: 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 Setback: L,otCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REVIARKS (in house): <br /> 7 <br />