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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: yY�� �gys�o� /�•� <br /> PID: <br /> DESCR�'I'ION OF WORK: �2.�tti.�,o F (?x--3�2Q <br /> --------- ------- — - --------��-------- --- - - . <br /> ZOrT�i TG REVIEW BY: � DATE APPROVED• <br /> BUILD�IG REVIEW BY: DATE APPROVED; �a������ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No J SEWER CO�]NEC"ITON <br /> STATE SURCHARGE Yes '+� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�iI�1G CH�CK LIST zoning Districr. Nv C Fl�"4✓�� <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 /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Buildin� Height: Def. Hgt. Peak Hgt. <br /> Lot Covera?e: � <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.o[Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No ! Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />