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` � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: /72 S C�oivco�rJi,q si <br /> PID: <br /> DESCRIPTION OF WORK: LAiv/� /a�`r�i-z�4�-�0� <br /> ZO.vI�1i G REVIEW BY: DATE APPROVED: b� s-�� <br /> BUII.D�1G REVIE`V BY: — DATE APPROVED; <br /> W ,C 5-ao G✓'%3iL W v C:�i--- TrVI rr�2 G2��i�v <br /> FEES TO BE CHARGED: Misc. Fees �alculate�By` �_ <br /> PER�I�iIT Yes ,/ No <br /> PLA��1 REVIEW Yes No SEWER CONNEC'ITON <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZOi�TING CH�CK LIST Zoning District: N� GC . <br /> Fire Department: Post Office: School District: � <br /> L.ot Area: Sq.ft. Acres idth Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: �Vetlan : <br /> Building Hei;ht: Def. Hgt. Peal:H t. <br /> L,ot 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 Setback: L.ot Coverage: <br /> EustinQ Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />