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CHECK O�F LIST FOR ISSUANCE OF PERI�SITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 7 5 F'�R�vO�4u� �/L�.;—'t�v <br /> PID: <br /> DES CRIPTION OF W ORK: P o a�.- <br /> ZO�G REVIE`V BY: „ DATE APPROVED: �. �3 -oy <br /> BUII.,DI�i IG REVIE`V BY: DATE APPROVED: -�- 8 .o� <br /> FEES TO SE CHARGED: Misc. Fees Calculated By: <br /> PER�ti1IT Yes ✓ No <br /> PLAN REVIEW Yes i/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCO�tNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No �� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�IIt�tG CHE.CK LIST Zoning Districr. <br /> Fire Departmen[: Post OfFice: School District: <br /> L,ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: o N i=�u? <br /> Proposed Se[backs: �� <br /> Fron[ (Lake): ��p Right Side: Zi S <br /> Rear (Street): ?,C` Left Side: St� <br /> Adjacent Struccures: �o' `Vetland: /`��� <br /> Building Height: Def. Hgc. — Peak Hgt. -- <br /> Lot Coveraoe: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: ^ By: <br /> Zoning File: # Resolution: � Resolutioa Date: <br /> Shoreland District: /VJ <br /> Avg. Se[back: Bluff Setback: L.ot Coverage: <br /> Ezistina Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' /�L� <br /> 250-500' C� <br /> 500-1000' <br /> ��, <br /> Hardcover Variance Required: Yes No Date of Council Approval: � <br /> REMARKS (in house): <br /> � <br />