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, CHECK OFF i.IST FOR ISSUAI'r'CE �F PERMITS <br /> � FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: zo G 2�s�� C.�r.c_�=�c R-cs. <br /> PID: <br /> DESCRIPTION OF WORK: �'Lcwt.���z <br /> ZO.�tI�i G REVIE`V BY: �(� DATE APPROVED: <br /> BUILDING RE'�tiV BY: DAT'E APPROVEA: .�- 9 �v (� <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes �/' No SEWER CO�iNECITON <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 /> ----------------------------------_--_------------------------------------------------------------------------- <br /> ZONI�IG CI�CK LIST Zoning Districr. �v v C�H� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Widch Depth <br /> Survey Submi[ted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Froat (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: W tland: <br /> Building Height: Def. Hgt. eal:Hgt. <br /> Lot Coveraje: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoaing File: # Resolution: Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Blu Setback: L.ot Coverage: <br /> E�is inQ Proposed <br /> � <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-SQO' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date oE Council Approval: <br /> RE`�LARKS (in house): <br /> � <br />