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CHECK OFF LiST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�(Z� C.'�15T C�4r� s r <br /> � PID: <br /> DESCRIPTION OF WORK: �,,�,,,,Do,�,,S p,�y� �—.�t,o►�.c�r- �o 0 2 <br /> ZO.�I�ti G REVIE`V BY: v� /iGl DAT'E APPROVED: <br /> BUII..DING REVIE`V BY: DATE APPROVED: /- y-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �' No <br /> PLAN REVIEW Yes No c� SEWFIR CO�INEC'ITON <br /> STATE SURCHARGE Yes v No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------_----------------------------------------------------------------------------- <br /> ZOVI�tG CH�CK LIST Zoning Districr. No G 1���� <br /> Fire Department: Post Office: School District: <br /> L.o[ Area: Sq.fr. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Froa[(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetlan : <br /> Buildin, Height: Def. Hgt. Peal: gt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolutioa Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff etback: I.ot Coverage: <br /> Ezistin Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 50a-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> �EVL4RKS (in house): <br /> 7 <br />