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CHEC� OFF i,IST FOR ISSUANCE OF PER.�l�1ITS <br /> � FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: �z.z e� p�v,�v ��n�� <br /> PID: <br /> DESCR�TION OF WORK: (,o�,,•eti �-�vc� ���P� <br /> ZO.�ti G REVrE`V BY: I ✓-� DATE APPP�OVED: <br /> BUII�DING RE'VIEtiV BY: DATE APPROVED: � - i 3-o s. <br /> FEES TO BE CHAI2GED: Misc. Fezs Calculated By: <br /> PERMIT Yes _,�' No <br /> PLAN REVIE`V � Yes _,� No SEtiVER CONNECTION <br /> STATE SURCHARGE Yes _L/ No �VATERCONNECTTON <br /> INVESTIGATION FEE Yes No �� PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC�Units OTHER (sgecify) <br /> -------------------------------------------------------------------------------- - <br /> ZONTi�IG CH�CK LIST Zoning Districc: �v� __�/aNC e , <br /> Fire Deparcment: Post Office: School District: � <br /> I,ot Area: Sq.ft. Acres idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[(Lake): FZight Side: <br /> Rear (Stre�t}: Lef�Side: <br /> Adjaceot Structures: Wetl d: <br /> Buildin� Hei�c: Def. Hgt. Pe ' Hgt. <br /> Lot Covera�e: <br /> Grading: Scaff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: O.� B, ' �.3 C? <br /> Zonin� File: m Resolutioa: � Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setback: I.ot Coverage: <br /> E�isting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-Sd0' � <br /> 500-1000' ,' <br /> E-Iardcover Va:ia_nce Required: Yes No Da�e of Council Appro�z�: <br /> R.E`L�RI�iS (in house): <br />