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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 31,2 o L�c.��x� 3 f <br /> PID: <br /> DESCRIPTIONOFWORK: Q,4�zrr�.- B�sGrn�.�r i7.c�✓+�/�t� <br /> ZO.�i'G RE'VIE`V BY: � DATE APPROVED: <br /> BUII,DING REVIEW BY: DAT'E APPROVED: �g- c{-a�' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes v� No SEWER CO�TNECTION <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�IG CHE.CK LiST Zonin; Districc: �vo GEti4-,v�.;Q <br /> Fire Departmen[: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Si : <br /> Rear (S[reet): Left S' e: <br /> Adjacent Structures: 1�Vetland: <br /> Building Hei?ht: Def. Hgt. Peak Hgt. <br /> Lot Covera�e: <br /> Gradin�: Staff Approval Date: y: Council Approval Da[e: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resolucion Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setbac : Lot Covera�e: <br /> Existina Proposed <br /> ..7 <br /> Hardcover: 0-7�' <br /> 7�-2�0' <br /> 2�0-�GO' <br /> 500-1OC�' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�L4R�iS (in house): <br />