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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: f�4�`( �iq�c o� A ve <br /> PID: <br /> DESCRIPTION OF WORK: �200 o�..�n L,--,�,s 4 �Oe � <br /> ZO�G RE'V�`V BY: DATE APPROVED: �- �• o� <br /> BUII.,DING REVIEW BY: DAT'E APPROVED: g -y- o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes � No SE`VER CO�TNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNEC'ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZO�tI�1G CH�CK LIST Zoning District: /«�(-{i,qrN� — �EC.k �-�P/�P9 10-I o-�� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes _� I�10 Date of Survey: � <br /> Proposed Setbacks: <br /> Fron[ (Lake): Right Si : <br /> Rear (Stree[): Left Side: <br /> Adjacent Structures: Wetland: <br /> Buildin� Hei�ht: Def. Hgt. Peak Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By• Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Set ack: L.otCoverage: <br /> Existina Proposed <br /> ..7 <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-SGO' <br /> 540-1OC�' <br /> Hardcover Variance Required: Yes No Da�e of Council Approval: <br /> RE�L4RKS (in house): <br />