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CHECK OFF LIST FOR ISSUA��ICE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��S v C.c�rvc o�2.�,� s� <br /> PID: <br /> DESCRIPTION OF WORK: g,�,sc vw�-v T i=��v�s H <br /> Z0��1ING REVIEW BY: /U (�4 DATE APPROVED: <br /> BUILDING REVIEW BY: �„�' �,.e� DATE APPROVED: q- $-o-� <br /> ------------_—_------------------- ' -----_------------------------------------------------------------ <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes c�' No <br /> pL,�,N REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes �' No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------- <br /> ZOti�Il�1G CHECK LIST Zoning District: N o c�-r-�a-.� {> <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: We land: <br /> Building Hei�ht: Def. Hg[. Pe � Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resolution Date: . <br /> Shoreland District: <br /> Av�. Setback: Bluff Setback L.otCoverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REv�ARKS (in house): �� <br /> 7 . <br />