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, ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: -75 �-=t=,—n�v,�.�c.�:, /Lc,� <br /> PID: � <br /> DESCRIPTION OF WORK (k,�1,t.�•�7.e L /,Z,L;�c c..c:�.�-z: <br /> --------------------------------------------------------------------------�---------------------------------------------- <br /> ZONING REVIEW BY: �% j ✓� DATE APPROVED: <br /> B UILDING REVIEW BY.• DATE APPROVED: <br /> FEES TO BE CHARGED: / Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLANREVIEW Yes No � SEWER CONNECTION <br /> STATE S UR CHAR GE Yes ,/� No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: tU:% c..t-i-►4�t�L' <br /> Fire Depanment: Post Office: School District: <br /> LotArea: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Sacrvey: <br /> Proposed Setbacks: <br /> Front (Lake): Right ide: <br /> Rear (Street): Left e: <br /> Adjacent Structures: etland: <br /> Building Height.• Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: � Council Approval Date: <br /> r <br /> Septic: Staff Approval Date: By; <br /> Zoning File: # Resolc�tion: # / Resolauion Date: <br /> Shoreland District: <br /> Avg.Setback: BI Setback: Lot Coverage: <br /> isti�tg Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> ZSO-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> \ <br /> REMARKS(in house): �1 <br /> 32 <br />