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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �-i(07 S ��,—L�.w u o� T(1-4�L <br /> PID: <br /> DESCRIPTION OF WORK: oo► �s,v <br /> ZO.�iI�Ti G REVIEW BY: DATE APPROVED: S-i�-�'Z <br /> BUII.DI�i 1G REV�W BY: DATE APPROVED; S-��• vz- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�I�IIT Yes �/' No <br /> PLAi�t REVIEW Yes �' No SEWER CONNEC"ITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: ro c� r�.s�l <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width 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: �Vetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> �'�� Grading: Staff Approval Date: By: Council Approval Date: <br /> �'�� Septic: Staff Approval Date: By: <br /> �v Zoning File: # Resolution: # Resolution Date: <br /> `l� <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />