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� � • CHECb' OFF' LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � �� � ����o�-� Go� 2.�- � <br /> PID: _ _ _ -- - <br /> DESCRIP':[TON OF WORK: �,4.� �q���t,f;�-u.v <br /> _----------------------------: _____ <br /> ZO�G REV�`V BY: _ ��,,,�C� DATE APPROVED• �- Z-0 3 <br /> BUII.DI'iYG REV�W BY: — DA7 E APPROVID: <br /> �,,, �-.�/o G. •�-P <br /> FEES TO BE CHARGED: 6� � Misc. Fees Calculated By: <br /> PER11i1IT Yes �/ No <br /> PLAi�t REVIEW Yes No SEWER COiVNECTIOiv <br /> STATE SURCHARGE Yes No WATER CONNECITON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOI�'ING CH�CK LIST Zoning District: /`r° C�S� �� �-� . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres W th Depch <br /> Survey Submitted: Yes No ate of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: �Vetlan : <br /> Building Hei;ht: Def. Hgt. Peak H t. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: � Resolution: � esolution Date: <br /> Shoreland Dis[rict: <br /> Avg. Setback: Bluff Setback: L.otCoverage: <br /> Eacisting Proposed <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council App:oval: <br /> REI�IARKS (inhouse): �- ��� P� �„��-� �� D��•�, <br /> ��Scy�n-c.�T <br /> 7 <br />