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CHECK OFF LIST FOR ISSUANCE OF PERMITS ' � <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2`�C� Ci-�.�srvi�-c� �4� � <br /> PID: <br /> DESCRIPTION OF WORK: N '?,00 S C,'T'1) = J SsP <br /> ZO�t.Pi 1G RE'VIEW BY: DATE APPROVED: Z-��{ -0'3 <br /> BUILDING REVIEW BY: DATE APPROVED; Z. �. Y _�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _/' No <br /> PLAN REVIEW Yes ✓ No SEWF.R CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes � No Date of Survey: /-�� •O`t <br /> Proposed Setbacks: <br /> � <br /> Front(Lake): (,�"5 } Right Side: I�. 3 <br /> Rear(Street): 37�i Left Side: y� <br /> Adjacent Structures: I Z � Wetland: i✓�/� <br /> Building Height: Def. Hgt. v, k Peal:Hgt. <br /> L.ot Coveraae: O ��L <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: /� Resolution: � Resolution Date: <br /> Shoreland Districr. <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> �� Eaisting Proposed <br /> �I Hardcover: 0-75' <br /> (�I'�P 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> MARKS (in house)• <br /> 7 <br />