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CHECK OF'F' LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `j �y S ��2�.t�kWvc�i� �2�� <br /> PID: - <br /> DESCRIl'TION OF WORK: ('��SL�L,—yv; F'�r� ,5�-� <br /> -------------------------------------__-----_-------- <br /> ZO'�Pi IG REVIEW BY: �- � DATE APPROVED: v�%��- <br /> BUII,DING REVIEW BY: .�,,.._ DATE APPROVED: q- z� -5 � <br /> -- ------------------ ----- <br /> FEFS TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓- No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SUR`HARCr� Yes ✓ No WATER CONNECTTON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------ ------- <br /> ZONII�tG CHECK LIST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> I.ot Area: Sq.fr. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): . Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> ,"`I7 Lot Coverage: � <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> � <br /> Septic: Staff Approval Date: N �'�, �f =.''•_�, �. �:;f,,-,PnvP c_:: <br /> By� /7 �, I� , o�°�'� <br /> � ��- f,-�,AJNGI <br /> Zonino File: � Resolution: # Resolution Date: � <br /> Shoreland DisL-ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Existing Proposed <br /> Hardcover: 0-75' <br /> 75-ZSO' . � <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REl�ZA.RKS (in house): <br /> • 26 <br />