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� ' . <br /> � CHECK OFF LIST FOR ISSU�vCE OF PERivIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI.: 1 b s� C�n K'�R t�n r"c�- <br /> PID: <br /> DESCRIPTION OF titi ORK: �►'�S�vv�t�-rJ� �,v,�,+ <br /> --------------________ . ----------------__----------------------- <br /> ZONIl�iG REVIE`V BY. � �.w- DATE APPROVED: -7—�1 - n► <br /> BUII.DING REV�`V BY: DATE APPROVED: —�-i�- o , <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> pLAN REVIEW Yes �� No SEWER CONNECITON <br /> STATE SURCHARGE Yes �� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEI�i 1SPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�T�1i G CHECK LIST Zoning Discricc: N4 C!-tAN6L <br /> Fire Department: Post Office: School Dis[rict: <br /> Lot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Ri�ht Side: <br /> Rear (Street): Left Side: � <br /> Adjacent Structures: edand: <br /> Buildin� Heig.ht: Def. H�t. ak H;t. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zonin; File: �# Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff S tback: L,ot Coverage: <br /> Existin Proposed <br /> Hardcover: 0-7�' <br /> 7�-2�0' <br /> 2�0-500' <br /> 500-1000' � <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REVIARKS (in house)• <br /> 7 <br />