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CHECK OFF LIST FOR ISSUANCE OF PERVIITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: I b�S C.drv c.o R�►� sT - <br /> PID: <br /> DESCRLPTION OF WORK: !=',,,,,sH C� �etiq.c,,� <br /> ZO�G REVIE`V BY: DATE APPROVED: <br /> BUII�DL�G REV�ti� BY: DATE APPROVED; ��3 -a° <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNLIT Yes ✓ No <br /> pL,Ar,' REVIE� Yes No �/ SEWER CO�TNECTION <br /> STATE SURCHARGE Yes � No `VATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZO\L�;G CI-�CK LIST Zoning District: No c/� <br /> Fire Depar[ment: Post O�ce: School District: � <br /> Loc 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: `Vedand: <br /> Buildin� Height: Def. H�t. Peal:Hgt. <br /> Lot Coverage: ' <br /> Gradin�: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zonin�FIle: # Resolution: 1# Resolutioa Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Co��era�e: <br /> Ezisting Proposed <br /> Hardcover: 0-7�' <br /> 75-2�0' <br /> 2�0-SQO' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�IAR�S (in house): T��nn�1�00 c.o�sYrwc.r-�d•.� �s fif►<< w c�� � ���T <br /> ,2o.r... lL..i� rrT Co..r3 i. K(�► r w� � o r hst�. a. w�.� ,— 2.c �r�ro !� (coJ� <br /> -� -�� �T -t-R�kr� t-c� '�'ih o� t M,1Gbe�.1/1n�+r� w,ll -�-La�:e o.►:f... <br /> �a'ec'� AFr^ER 5La6 w�•s (�e„u.� l'�y Kn•. . 'Ti�Q�C,a..�o w� I��S� �3-c �r�sl�li�j <br /> U� C.a V�-� O{� 6 A�nA� l�t�+/� wt lf 6,t 7 I��Q /-=dit �(.�'T� /'�/�'�a r� 0/v�'`q �r�' �t�S /�'`►'`'�'�• <br /> �� / �r <br />