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.' ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 2 2�o c= c�x s-��,`.T <br /> PID: <br /> DESCRIPTION OF WORK: �.�rv✓� ►'�,��r�,a-T� ( �JJ►z�v�.�,.�r�H �.sx�rz r n o•�� <br /> __ —__�� �-----------------------------------------y---- <br /> ZO�iIl�'G REVIEW BY: � CQ�w.�,.-- DATE APPROVED: ��- o0 <br /> BUILDING REVIEW BY:� DATE APPROVED: N/a <br /> — — ------- --------------------------------- ------ - <br /> FEES TO BE CHARGED: �,,��'o?'a`��� Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER COiVNECfION <br /> STATE SURCHARGE Yes No WATERCONNEC'TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIiv'G CH�CK LIST Zoning District: i� � C rf.��-� <br /> Fire Department: Post O ice: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): t Side: <br /> Rear(Street): ft Side: <br /> Adjacent Structures: LVetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: _�(- 1 `t - n� By: �•(� . Council Approval Date: <br /> Septic: Staff Approval Date: --- By: — <br /> Zoning File: # Resolution: Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Blu f Setback: Lot Coverage: <br /> Ezi ting 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 /> REMARI�S (in house): <br /> 7 <br />