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.. CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: l 3��i �=-��w�.�..��:;.� ►�� � <br /> PID: <br /> DESCRIPTIONOFWORK: i�L�.���-�-�;;— -- t'Z�r�'���� fJ����sN �:� ('"�;,;� `.:; T�ti�>_xyS <br /> __--_---____ _____---_____-�--_--------------------------------------------------------------- <br /> ZONING REV�W BY: ��� �, � �4�c� DATE APPROVED: 4 ���-�� <br /> BUII�DING REVIEW BY: � � - '�... DATE APPROVED: ; � -�"-`�7 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> pLAN REVIEW Yes No t,/ SEWER CONNECITON <br /> STATE SUR�HARCr� Yes ✓' No WATER CONNECTION <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Numbzr of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoni.ng District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): . Right Side: <br /> Rear (Street): Lefr Side: <br /> '�� I t Structures: Wetland: <br /> ,�E� ,v 1 Ad�acen <br /> 8- � <br /> �.� � Building Height: Def. Hgt. Peak Hgt. <br /> � Lot Coverage: <br /> �1 Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: � <br /> Shoreland Distict: _ <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' � <br /> 250-500' � <br /> 500-1000' <br /> . ,._. <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 26 <br />