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CHECK O�F LIST FOR ISSUA��tCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �3 v H�c.�«e,,er.-y I�� 1 I <br /> PID: <br /> DESCRIPTION OF WORK: �,�r�,�Ja„✓s <br /> Z0.�1Ivi G REV�W BY: ��� DAT'E APPROVED: <br /> BUILDTi�G REVIE`V BY: DATE APPROVED: � � 3 0• o S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes b/ No SE`VER CONIVECTION <br /> STATE SURCHARGE Yes _� No WATERCO�INECTION <br /> INVESTIGATION FEE Yes No _� P�RK FEE <br /> SAC Yes No �`� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------------------------------------------------------------------------------------- <br /> ZONI1tG CH�CK LIST Zoning Districc: N� G«'r��i,e. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Sid : <br /> Rear (Street): Left Sid : <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Fea�:Hgt. <br /> Lot CoveraJe: <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 /> Av�, Setback: Bluff Setbac. : Lo[Coveraae: <br /> Existin� Proposed y <br /> � <br /> Hardcover: 0-75' <br /> 7�-2�0' <br /> 2�0-500' <br /> 500-1000' <br /> I <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> �tE�1ARKS (in house): <br /> � <br />