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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 3�S Q c.4��� <br /> PID: <br /> DESCRIPTION OF WORK: �}NTCNNAS o.f w��-n-rn,..��z <br /> ZO�P1G REVIE`V BY: 6lL�6 �'�-pPA a��v/lfoo�.s�• DATE APPROVED: 6-3�-o s <br /> BUII�DING REVIE`V BY: ,t,�� DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes � No SEWER C0�INECTION <br /> STATE SURCHARGE Yes � No WATERCONNECT'ION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONI�IG CHECK LIST Zoning District: n, o c!� <br /> Fire Deparcmen[: Post O ce: School District: _ <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adiacent Structures: Wetl d: <br /> Building HeiGht: Def. Hgt. Pe Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning F:le: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> Eusting Proposed <br /> Hardcover: 0-7�' <br /> 7�-2�0' <br /> 2�Q-�00' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�L4RKS (in house): 0 ZS -- /1/'J 5� �� <br /> � <br />