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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1�3 13����c-�2 d2. <br /> PID: <br /> DESCRIPTION OF WORK: N �W cZ�S - <br /> - -- -- - ------_--_---------------------------------- <br /> ZO�IG REVIE`V BY: .�Q DATE APPROVED: 9— 9- �Y <br /> BUII.DING REV�`V BY: DATE APPROVED; 9-9- a y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERiV1IT Yes f No <br /> PLA��I REVIEW Yes �� o SEWER CO�]NECTION <br /> STATE SURCHARGE Yes _��No WATERCONNECT'ION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC�Units 2 OTHER (specify) <br /> ZOi1tI�tG CTiE.CK LIST Zoaing District: <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. 3,Z-�,3,�i� Acres Width 3�8 Dep[h 36•b-7 <br /> Survey Submitted: Yes o� No Date of Survey: � '2`� '�`� <br /> Proposed Setbacks: <br /> Froat(Lake): � Right Side: � <br /> Rear (Stree[): � Left Side: d <br /> Adj acent Structures: O �Vetland: i 0� t� Ssvt(3 R�� <br /> Building Hei�ht: Def. Hgt. D -��- Pea�:Hgt. — <br /> Loc Coveraoe: � I� <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # ^' Resolution: f� Resolutioa Date: <br /> Shoreland District: N � <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> ExistinQ Proposed <br /> e <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REl�'LARKS (in house): <br /> 7 <br />