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` ' , CHECK OFF LIST FOR ISSUAI�TCE OF PERi1�iITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Ci,�,�Go n✓>,✓� <br /> PID: <br /> DESCRIPZ'ION OF WORK: (�(t/�� � rv b <br /> ' _---------------------------------_---__ __ <br /> ZO�i'G REVIE`V BY: DATE APPROVED: '7 - S - �J <br /> BUII�DI�i tG REVIE`V BY: DATE APPROVED: <br /> FEES TO BE CHARGED: �'`Oi`"�S igc ees Calculated By: ~ ~ <br /> PERNIIT Yes � No �, <br /> pLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNEG"TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�tL\G CH�CK LIST zoning Districc: /V� G�yti'�.Q _ <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres W dth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[ (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetl d: . <br /> Buildia; Height: Def. Hgt. Peal: gt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Da[e: B : Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dis[rict: <br /> Avg. Setback: Bluff Setback I.ot Covera?e: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1Q00' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�IA,RKS (in house)• <br /> 7 <br />