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CHECK OFF i,IST FOR ISSUANCE OF PERi1�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRE�S OR LEGAL: I t 50 GarL�c_�•./ C���,— <br /> PID: <br /> DESCRIPI�ION OF WORK: o01 <br /> ZO�,tG REVLE`V BY: `�—�_^��`^ DATE APPI'.OVED: 6 -zc�-0 6 <br /> BUII,DING REVIEtiV BY: DATE APPROVED: �- Zo -o` <br /> FEES TO BE CHARGED: Misc. Fezs Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEti� � Yes _,� No SE�VER COYNECTTON <br /> STATE SURCHARGE Yes _� No WATERCONNEC'ITON <br /> INVESTIGATION FEE Yes No ,/ PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (sgecify) <br /> ------------------------------------------------------------------------------------------------------------------- <br /> ZONi�tG CH�CK LIST zoaing Districr. . <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Widch Depth <br /> Survey Submitted: Yes_ L� I�10 Date of Survey: I • 31'�Z <br /> Proposed Setbacks: <br /> Front (Lake): — RiGh[Side: �-7 _ <br /> Rear (Stree[): — Left 5ide: Zz- <br /> Adjacent Structures: �3 Wetland: /J �� <br /> Building Height: Def. Hgt. — Pealc Hgt. — <br /> Lot Covera?e: �f.G_ <br /> Grading: Staff Approval Date: nf- � . By: Council Approval Date: <br /> Septic: Staff Approval Date: ^/ � � By: <br /> Zoning Fi.le: (# — Resolutioa: # " Resolution Da[e: <br /> Shoreland District: �1� <br /> Av�. Setback: Bluff Setback: Lo[Covera�e: <br /> Ezistin� Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-5Q0' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da�e of Council Appro�al: <br /> RE�L4RKS (in house): <br />