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CHEC� OFF i�IST FOR iSSUANCE OF �ERI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRE�S ORLEGAL: y7.e� ,O�"�d��-� f�•� <br /> PID: <br /> DESCRIPTION OF WORK: ,(�`q.i t-� t2�o� ���✓�-�- <br /> ZO.vI�Ii G REVLE`V BY: r--- DATE APPROVED: y. z�� O� <br /> St1TI�DING REY��V B : DAT'E APPROVED: y, Z y- �6 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes f No <br /> PLAN REVIE`V � Yes 6� No � SEtiVER CONNECTTON <br /> STATE SURCHARGE Yes �- No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------- <br /> ZONI�tG CHE.CK LIST Zoning District: rtJO C-�-I�.P <br /> Fire Departmen[: Post Office: School District: <br /> L,ot Area: Sq.ft. Acres Wid Depth <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Froa[ (Lake): R.ight Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetlan : <br /> auildin� Hei�t: Def. Hgt. Peal:Hg . <br /> Lot Covera?e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By� <br /> Zonin; File: # Resolucioa: � esolution Date: <br /> Shoreland Distric[: <br /> Avg. Setback: Bluff Setback: L.ot Covera�e: <br /> Ezisti.n� Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Varia_nce Required: Yes No Da�e of Council Approva�: <br /> REtiLA.RKS (in house): <br /> � <br />