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� ' CHECK OF'F LIST FOR ISSUAi�tCE OF PER1tiIITS <br /> � FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: Z��C o ,p�.�,2 �2.�N ��L- �== - <br /> PID: <br /> DESCR�'I'ION OF WORK: '', <br /> . ____ <br /> ZOrT\'G REV�`V BY: DATE APPROVED: S-/3-�� <br /> BUII.DPtG REVIEti� BY: s�(,0 DATE APPROVED: <br /> FEES TO BE CHARGED: (� (��^�� � N� G� <br /> isc. ees Calculated �y:�—�� <br /> PERNIIT Yes �/ No : <br /> PLAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNEC"TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI:�tG CFiE.CK LIST zoning Districc: i►r� G(�? <br /> Fire Department: Post Office: School District: � <br /> I..ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Righ[Side: <br /> Rear (Sueet): L.eft Side: <br /> Adjacent Structures: We and: . <br /> Buildin� Heigh[: Def. Hgt. Pe •Hgt. <br /> Lot Covera�e: <br /> Grading: Scaff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoain; File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Se[back L,ot Covera�e: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�L�RKS (in house)• <br /> 7 <br />