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� CHECb OFF LIST FOR ISSUr�I�iCE OF PERi1-iITS <br /> FOR OFFICE USE ONLY <br /> �DDRESS OR LEGAI.: I�i�� �`��`'''��r+ <br /> PID: <br /> DESCRIPTION OF WORK: ��'_'�l��rv�� <br /> ZOY�1G REVIEW BY: ' �,L�� 1��� �''l��'� DATE APPROVID: � - z � - `��: <br /> BUII.DI�'G REVIE��' BY: DATE APPROVID: <br /> �--�`hn'�'7 Misc. Fees Calculated By: <br /> FEES TO BE CHARGED: - <br /> PER'vLIT Yes � No <br /> P�N ��� Yes No .�- SEWER CONNECTION <br /> ST.�TE SL�RCHARGE Yes No � WATER CONNECITON � <br /> INVESTIGATION FEE Yes No �' PARK FEE <br /> SAC Yes No / STI'E LNSPECTION <br /> Number of SAC Units _ OTHER (specify) <br /> --- ------------- — <br /> ZOv .7�ti G CHECK LIST zoning Disuicc: <br /> Shoreland District : <br /> Fire Department: <br /> Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes <br /> No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[ (Lake): Ri,Qht Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> �'� � Building Height: Def. Hgt. <br /> Peak H�t. <br /> � <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' — <br /> 500-1000' <br /> Hardcover Variance Required: Yes No <br /> Date of Council Approval: __ <br /> B Council Approval Da[e: <br /> Grading: Staff Approvai Date: Y� <br /> Sepric: Staff Approval Date: BY� <br /> Zoning File: � Resolution: # Resolution Date: <br /> (in house): +n f'l�.�s��ti � ;�i�t'� � � ��c r s'r��� ���-,:�;i� ' <br /> ��,F� / <br />