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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 63s C.o�N��,, s ��� �(Z <br /> PID: <br /> DESCRIPTION OF WORK: SPo2�- C�.�2r ' <br /> ZOrT�i 1G REV��Y BY: DATE APPROVED: �/-i 9 -v S <br /> BUII�DIYi G REVIEtiV BY: DAT'E APPROVED: y-�� -e�' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _/� No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------ <br /> Z0�1I�IG CH�CK LIST Zoning Districc: <br /> Fire Deparcment: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: a.� F/�c: <br /> Proposed Setbacks: <br /> Front (Lake): 21 O Right Side: 3�� <br /> Rear (Street): 7�o� Left Side: J 4U <br /> Ad;acent Structures: �-I,c� �+-o Po�1 Wedand: nl)A <br /> Building Height: Def. Hgt. �l �y� Peak Hgt. — <br /> Lot Covera;e: �o c�,s <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # � Resolution: # Resolution Date: <br /> Shoreland District: N� <br /> Av;. Setback: Bluff Setback: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 2JO-S00' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />