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_ CHECK OFF LIST FOR ISSUA1�tCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /y 2 CN cv y cff/�sc: 02 <br /> PID: <br /> DESCRIPTION OF WORK: C6�ss wc:-z.�. <br /> ZO�iIVG REVIEW BY: DATE APPROVED: �a -i z-0 5' <br /> BUILDIti G REVIE`V BY:� DATE APPROVED: ��-�z• �� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �^ No SEWER COi�TNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------------- <br /> Z0�1I�1G CH�CK LIST Zoning District: �V� G/-�►N� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right S'de: <br /> Rear (Street): Left ide: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. al:Hgt. <br /> Lo[ Covera�e: <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 Setbac. : L.ot Coverage: <br /> Ezistin� Proposed <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 2�0-500' <br /> �00-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REii�1ARKS (in house): <br /> \ <br /> � <br />