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� , I <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS ' <br /> FOR OFFICE USE ONLY � � <br /> A.DDRESS OR LEGAL: 31 z s F o x s-r�� ( <br /> PID: i <br /> DESCRIPTION OF WORK: y�,7��e,.� 1�'rwo r�.e�, ! <br /> ------_---___--------------- ---- ---------------------------------------------------------------- � <br /> ZO�tG REVIEW BY: DAT'E APPROVED: >- L� - �-� <br /> BUILDI�IG REVIEW BY: DATE APPROVED: �• Z�- r�i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes v No <br /> PLAN REVIEW Yes v No SEWER CONNECITON <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 /> ZONING CHE.CK LIST Zoning District: No C hG,a�.e ! <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.B. Acres Width Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Sid : <br /> Rear(Street): Left Side: <br /> Adjacent Structures: etland: <br /> Buildin� Height: Def. Hgt. P ak Hgt. <br /> Lot Coverage: ' <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb ck: L.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />