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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> • . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �=1`� i�-�.�'`r�v'J�'��..�. C"?�:,�/) iti��-�1� <br /> PID: <br /> DESCRIPTION OF WORK: 1Z��.�v�-�- + v:�t�ti�� --�=n e-=v-��i�-� �'vtti�-��`- <br /> __� ______�_ � <br /> ----------- �;�--��_---��-- -- --- <br /> ZO�i�G REVIEW BY: C.�� c�.�,,,�- DATE APPROVED: _/` - " • <br /> BUII�DING REV�`V BY: �. DATE APPROVED: y--1y� �z'�;� <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONI:\G CI�CK LIST Zoning District: ��vTi c> � /f�'-�-/ti�1 �' <br /> _ J _ <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 5.���acks: <br /> Fron[(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: W tland: <br /> Building Height: Def. Hgt. Pe �Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Se[back Lot Covenge: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />