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' CHECK OFF LIST FOR ISSUAi�tCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: bC� C2�S7�- Cr�z�ic. �� <br /> PID: <br /> DESCRIPT`ION OF WORK: 5 a..a.Q.,� o au�, �„✓ �_�c ��n,�,� (J�.� <br /> ZO�TG REVIE`V BY: DATE APPROVED: �- �sr -�S <br /> BUII.DPi,TG REVIE`V BY: DATE APPROVED: -�-�� -o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �/ No SEWF.R CO�TNECTION <br /> STATE SURCHARGE Yes �/ No WATF,RCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZOi�1I1(G CH�CK LiST Zoning District: <br /> Fire Departmeat: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes d� No Date of Survey: p,�, i=��,c;� <br /> Proposed Setbacks: <br /> Front (Lake): I Z3� ± Right Side: 122 ' <br /> Rear (S[reet): 3�o� � Left Side: 5 3� ± <br /> Adjacent Structures: q.�-r.r�-�-L� �Vetland: ^//I'}� <br /> Building Hei�ht: Def. Hgt. �,1� Peak Hgt. — <br /> Lot Covera�e: �..1 I J� <br /> Grading: Staff Approval Date: � �,/� By: Council Approval Date: <br /> Septic: Staff Approval Date: � � By: <br /> Zoning File: # M� Resolution: # Resolution Da�e: <br /> Shoreland District: rV o <br /> Av�. Setback: Bluff Setback: L.ot Coverage: <br /> Ezistin� Proposed <br /> D <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-SGO' <br /> 500-IOCfl' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�IARKS (in house): <br />