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CHECK OFF LIST FOR ISSUA.1vCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y 3 S � C,���/���vA �A N t: <br /> PID: <br /> DESCRIP'I'ION OF WORK: �,� .� (� „�,,; .2 <br /> ZO.�I�ti G REVIEW BY: DATE APPROVED: �v� 6 -� > <br /> BUII.,D�G REVIE`V BY: DAT'E APPROVED: ; � . � ��s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes � No SEWER CONNECITON <br /> STATE SURCHARGE Yes �/ No WATER CONNECITON <br /> INVESTIGATION FEE Yes No !/� PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZO�tI�1G CHE.CK LIST Zoning Districc: <br /> Fire Deparcment: Post Office: School District: <br /> Lot Area: Sc.ft. Acres �_i 2. Width Depth <br /> Survey Submitted: Yes � No Date of Survey: D,u i�'► l,,C: <br /> Proposed Setbacks: 5-�=� <br /> Front (Lake): �`T 3 � �'S Right Side: �y� ` '- <br /> Rear (Street): i 2 � Left Side: /d 0 � � <br /> Adjacent Structures: ?�v ' �Vedand: N �✓a <br /> Building Hei�ht: Def. rigt. � y Peal:Hgt. �N <br /> Lot Covera�e: N j 1� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland Dis[rict: �v () <br /> Av�. Setback: Bluff Setback: L.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-7�' <br /> 7�-2�0' <br /> 2�0-500' <br /> 500-100a' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> �i�iARKS (in house): <br /> � <br />