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. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , • FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `!7�G �/¢y�%OL` �0.9�-�0' <br /> PID: <br /> DESCRIPTION OF WORK: CN T/L6�YC� /Y�^���-�_�'°'T-� <br /> - -- --- - ------ -----------------------------------------�-----------�---- <br /> ZO�tG REVIEW BY: .�� DATEAPPROVED• s-�y- � <br /> BUII�DING REVIEW BY: G ,,C DATE APPROVED; S=r �-��� <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes .�'' No <br /> PLA��T REVIEW Yes ✓'.� No SEWER CONNEC"ITON <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zon.ing District: <br /> Fire Department: Post Office: School District: <br /> L.ot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes_� No Date of Survey: D� F-��f <br /> Proposed Setbacks: s <br /> Front (Lake): S � Right Side: ~ <br /> Rear (Street): � ''� Left Side: � + <br /> Adjacent Structures: c�• it �Vetland: � !/� <br /> Building Hei;ht: Def. Hgt. p .�_ Peak 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 /> r: <br /> Shoreland District: �� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 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 />