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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: zti� �-��►��4�-G 20� N <br /> PID: <br /> DESCRIPTION OF WORK: TR.y (�,o��= _ <br /> ZO�'G REVIE�V BY: DATE APPROVED: � -� 3� b s <br /> BLTII.DING REVIE`V BY: �_ DAT'E APPROVED: —�-��- o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW Yes ,/' No SE`VER CO�TNECITON <br /> STATE SURCHARGE Yes ✓ No WAT`F,RCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZO�tI�iG CH�CK LIST Zoning District: <br /> Fire Departmear. Post Office: School District: <br /> Lo[Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes �_ No Date of Survey: o� �_� �- <br /> Proposed Setbacks: <br /> Front (Lake): 13�j� '' Ri;ht Side: �Q"1 <br /> Rear (Stree[): 1��� � Left Side: I o 5 <br /> Adjacent Structures: �r�c�c-tt:-� �Vetland: N\A <br /> Building Hei�ht: Def. Hgt, p , � Peak Hgt. —' <br /> Lot Covera�e: 0•I� <br /> Grading: Staff Approval Date: /U 1 J� By: Council Approval Date: <br /> Septic: Scaff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /V (� <br /> Av;. Setback: Bluff Setback: L.otCovera�e: <br /> Existina Proposed <br /> O <br /> Hardcover: 0-7�' <br /> 7�-2�0' <br /> 2�0-�CO' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da�e oF Council Approval: <br /> ItE�iARKS (in house): <br />