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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �0 3� C��►� s r <br /> PID: <br /> DESCRIPT'ION OF WORK: ��„s�.� (�,q��rvt,�iJT�' <br /> ZO.�tI�i i G REV�W BY: N �� DATE APPROVED: <br /> BUII�DING REVIEW BY: DATE APPROVED: � -Y-o 5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No ,/' PARK FEE <br /> SAC Yes No � SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> Z0�1IVG CH�CK LIST Zonin; Districc: �Jo G I <br /> Fire Departmeat: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Dace of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacen[ Structures: �Vetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zonin� File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Biuff Setback Lot Coverage: <br /> ExistinQ Proposed <br /> ..7 <br /> Hardcover: 0-75 <br /> 7�-2�0' <br /> 2�0-SGO' <br /> SOC-10aa' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> �tE�fARKS (in house): <br />