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CHECK OFF LIST FOR ISSUA��'CE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 35ss ,�rr.c,n2,�i� sr <br /> PID: <br /> DESCRIPTION OF WORK: 2��,,,.��.—� <br /> ZOYPi 1G REV�`V BY: DATE APPROVED: �//A <br /> BUILDI�i tG REV�`� BY: DATE APPROVED: �z- �,e -og <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1vSIT Yes ✓ No <br /> PLAN REVIEW Yes v� No SEWER CO�ECTIO�T <br /> STATE SURCHARGE Yes � I�'o WATER CONNECITO� <br /> INVESTIGATION FEE Yes I�'o f PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning District: rv e c. � <br /> Fire Department: Post Office: School District: <br /> I.ot Area: Sq.ft. Acres Wi th Depth <br /> Survey Submitted: Yes No te of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: �Ve�land: <br /> Building Hei�ht: Def. Hgt. Pei�H t. <br /> Lot Covera?e: <br /> Grading: Staff Approval Date: B�: Council Approval Da[e: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setba�s: I.ot Coverage: <br /> EustinQ Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' . <br /> 500-1000' <br /> Hardcover Variance Required: Yes tio Date of Council Appror•`: <br /> RENIARKS (in house): <br /> � <br /> 7 <br />