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CHECK OFF LIST FOR ISSUAl�'CE OF PERiI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �326� (30�+N 5 �o��r�r c�-�,e <br /> PID: <br /> DESCRIPTION OF WORK: t� �ec.t�- R�,�p t,4�.m��- <br /> ZO�'G REVIE`Y BY: DATE APPROVED: '�- i U-o� <br /> BUILDI�i TG REVIEW BY: DATE APPROVED: �- �--� <br /> F'EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No y <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 /> ZONL�i G CH�CK LI�T zoni.ng Disuicc: /l/� G r-�rr�� _ <br /> Fire Department: Post Office: School District: <br /> Lot 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 /> Buildin� Heigh[: Def. H�t. 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 Setba : Lot Covera?e: <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 /> RE�LARKS (in house): <br /> 7 <br />