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CHEC�K OFF LIST FOR ISSUANCE O�' PERIVIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS 0�2 LEGAL: 15 0o r o� �2�r���= iZo'� - -- <br /> PID: <br /> DESCR�'1�IO�i OF WORK: F'o��.o �e.-' /� �i/t �✓�� � ' ' ,�'9''t <br /> ---------------------------------------------------------- <br /> ZOVI�IG REVIEtiV BY: r--- — C�---- _ DATE APPROVED: y-Z6•o� <br /> BUILDT'i�tG REV���Y BY: DA T E A P P R O V ED: y•r� •d� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/' No <br /> PLAN REVIE`V � Yes c�' No SE`�R C0�INECITON <br /> STATE SURCHARGE Yes ,/ No `VATERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No �/ SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------- <br /> ZO��IG CHE.CK LIST Zoning Discricr. .�v G ti`�i"�P <br /> Fire Department: Pos[O�ce: School District: <br /> Lot Area: Sq.ft. Acres Width DeP� — <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: etland: <br /> Buildin� Heighc: Def. Hgt. eai:Hgt. <br /> Lot Covera;e: <br /> Grading: Staff Approval Date: Council Approval Date: <br /> Septic: Scaff Approval Date: BY� <br /> Zonin' Fi.le: # Resolutioa: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Secback: L.ot Coverage: <br /> Ez.istinQ Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1604' <br /> Hardcover Variance Required: Yes iv'o Date oi Council Approval: <br /> RE`L4RKS (in house): <br />