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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: (��'p GA�voc:,/L lZc,�,o <br /> PID: <br /> DESCRIP'TION OF WORK: (3 q5c:n.�c;-r,T F'� n,�s I-+ <br /> ------------------------___----_---------------------------------------------------�----------=--j---- <br /> ZO.�Pi iG REVIEW BY: („Q.�,..... DATE APPROVED• 7.Z� o <br /> BUII.DING REVIE`V BY: DATE APPROVED: �.21-o$' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes r/ No SE�VER CO�iNECTION <br /> STATE SURCHARGE Yes � No WATF.R CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZO�t1NG CI�CK LIST Zoning District: o CH.4N �O <br /> Fire Departmenr. Post OfFce: School District: <br /> I.ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes I�10 Date of Survey: <br /> Proposed Setbacks: <br /> Fron[ (Lake): Right Side <br /> Rear (Street): Left Si : <br /> Adjacent Structures: �Vetland: <br /> Building Heijht: Def. Hgt. Peal:Hg[. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolu[ion Da[e: <br /> Shoreland Dis[rict: <br /> Av�. Secback: Bluff Se[ba k: L,otCoverage: <br /> E�istin� Proposed <br /> � <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-�GO' <br /> 500-100�' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> �ZE1�LA.RKS (in house): <br />