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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: z'-i�5 tJ�;rv�.�����y ��t, <br /> PID: <br /> DFSCRIPTION OF WORK: _ ,=�l� a-tio� "' r�r� r�� <br /> _------------------------------------�_� , -------- <br /> ZO'VING REVIEW BY: ���(��,,,�,,` DATE APPROVED: � 4 ) <br /> BUII.DING REV�ti� BY: ` DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: � Y <br /> PERNIIT Yes ,� No <br /> PLAN REV�W Yes No SEWF.R CONNECTION <br /> STATE SUR`HAI�Cr� Yes No WATER CONNECITON <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post O�ce: School District: <br /> I.ot Area: Sq.fr. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Righ[Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wefland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: � <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> � <br /> Septic: Staff Approval Date: By: <br /> Zonino File: # Resolution: # Resoiution Date: � <br /> Shoreland Dist�-ict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Ezisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' � <br /> 250-500' . <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> • 26 <br />