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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �3 g S Q L.�{-�iv-t i4 ✓e <br /> ' PID: <br /> DESCRIPTION OF WORK: �-�vLu��L <br /> ZOrZtiG REV�`V BY: ----~—~ DATE APPROVED: �//� <br /> BUILD�IG REVIE`V BY: DATE APPROVED: G -/3 -vJ <br /> FEES TO BE CfIAKGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes _� No SEWER CONNECI'ION <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 /> ZO�G CH�CK LIST Zoning District: �U �?/-�-,9>�l6,� <br /> Fire Department: Post Office: School Disuict: <br /> I.ot Area: Sq.ft. Acres Width 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: etland: . <br /> Building Height: Def. Hgt. P al:Hgt. <br /> Lot 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 /> Avg. Setback: Bluff Setb k: I.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REviARKS (in house): <br /> 7� <br />