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CHECK OFF LiST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I 5�o F o x s-c-: <br /> PID: <br /> DESCRIPTION OF WORK: (Z.�wwoct z ,3 A� 5 <br /> ZO�tG REVIE�V BY: DATE APPROVED: ,��/� <br /> BUII�DING REVIE`V BY: DATE APPROVED: I-z`-�6 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes / No <br /> PLAN REVIEW � Yes ✓ No SEWER CO�TNEC"ITON <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 (specify) <br /> -----------------------------------_—__--------------------------------------------------------------------------- <br /> ZOtvI�tG CH�CK LIST Zoning District: N v c��vc�Q <br /> U <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Froat (Lake): Right Sid : <br /> Rear (Street): Left Si e: <br /> Adjacent Structures: Wetland: <br /> Buildin� Heiaht: Def. Hgt. Peak Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: By, <br /> Zoning File: # Resolution: �# Resolution Date: <br /> Shoreland District: � <br /> Avg. Setback: Bluff Setback:l I.ot Coverage: <br /> Ezisting I Proposed <br /> Hardcover: 0-75' � <br /> 75-250' <br /> 2�0-500' <br /> 50a-1004' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE`�L4RKS (in house): <br /> 7 <br />