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� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS � <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z70 C,rl,�si V i�.t�J <br /> PID: <br /> DESCF�IPTION OF WORK: �.rr�,v n,[,�vc�,r•.`•t <br /> ZOVI�i rG REVIE`V BY: DATE APPROVED: ��- Z-�-o s <br /> BL�II.DING REVIEW BY: DATE APPROVED: �. L�_o s— <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEtiVER CO�TNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONIVG CH�CK LIST Zonin; Districc: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submi[ted: Yes �c No Date of Survey: O � �� l.� <br /> Proposed Setbacks: <br /> Front (Lake): �" Right Side: ��� �e <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Hei�ht: Def. Hgt. Peak Hgt. <br /> Lot Covera�e: <br /> Gradina; Staff Approval Date: By: Council Approval Date: <br /> o� <br /> Septic: Staff Approval Date: By: <br /> �.1'�� Zon.ing File: # Resolution: # Resolu�ion Dace: <br /> Shoreland District: <br /> Av�. Secback: Bluff Setback: L,otCoverage: <br /> E�istin� Proposed <br /> Hardcover: 0-7�' <br /> 7�-2�0' <br /> 2�0-�CO' <br /> SOC-1000' <br /> Hardcover Variance Required: Yes No Date oF Council Approval: <br /> RE�L4RKS (in house): <br />