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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l�i 5 S F c�X 2��p�, �'�� <br /> PID: <br /> DESCRIPTION OF WORK: ���,o�Q�� <br /> ZONING REVIEW BY.• �� W�Y� �DATEAPPROVED.�Y�________ <br /> BUILDING REi�IEW BY.• DATEAPPROT�ED: ►d -�v-crt <br /> FEES TO BE CHARGED: Misc. Fees Calculated ByW�� � � '�_�_____ <br /> PERMIT Yes ,/ No <br /> PLAN REVIEW Yes No �/ SEWER CONNECTION <br /> STATE SURCHARGE Yes� No� WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (spec�) <br /> �------�----�----��----�--��- <br /> ZONING CHECK LIST Zoning District: JV 0 C I-f'+'4r�/� <br /> Fi�•e Department: Post Offtce: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes 1�'o Date of Survey: <br /> Proposed Setbacks: <br /> Fronl(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjaceni Structures: Wetlan : <br /> Building Height: Def Hgt. Peak H�t. <br /> , <br /> Lot Coverage: <br /> Grading: StaffApproval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: Bj,: <br /> � <br /> Zoning File: #1 Resolution: # R�solution Date: <br /> Shoreland Dist�-ict: M�'WD Per•mit: <br /> Avg. Setback.• Bluff'Setback: j Lot Coverage: <br /> Existing ' Proposed <br /> Hardcover: 0-75' � <br /> 1 <br /> 75-250' '� <br /> 250-500' � <br /> 500-1000' � <br /> Hardcovei• Variance Required. Yes No I Date of Council Approval: <br /> I <br /> REMARKS(in house):_ � <br /> i <br /> 33 <br />