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� • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /S yc� F-�� snu.�7' <br /> PID: <br /> DESCRIPTION OF WORK: v v � — �pulc,� cx �snn� c� <br /> ZO�iI�i'G REV�W BY: DATE APPROVED: S-3 -o0 <br /> BUILDTi�1G REVIE`V BY: DATE APPROVED: .5 - 3-v� <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 WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOt�tI��1G CH�CK LIST Zoning District: GZ/Z. • I� <br /> Fire Department: (.� Post Office: (�ca� School District: (�2e�N� <br /> Lot Area: Sq.ft. ��1��� Acres Width Depth <br /> Survey Submitted: Yes ..c No Date of Survey: vN �< <-�-� <br /> Proposed Se[backs: <br /> Front(Lake): ZZ� � Right Side: Z'3 � t <br /> Rear (Street): I t�5� � Left Side: Z L v` t <br /> Adjacent Structures: 1 O S' � Wetland: N�l� <br /> Building Height: Def. Hgt. — Peal:Hgt. <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> N � . Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENLARKS (in house): <br /> 7 <br />