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CHECK OFF LIST FOR ISSUANCE OF PER.iIiiITS <br /> , � FOR OFFICE USE ONLY <br /> ' ADDRESS OR LEGAL: _ �-1 (C�`� N l(��{ ,���o�J �.o A-►� � . <br /> PID: <br /> DES CRIPTTON OF WORK: i�;���,,N�, �,,,,��� � � <br /> -- - ------------------------- ------ <br /> ZONIlYG REVIEti� BY: � DA'I'E APPROVED: � • Z,�- 5 8 <br /> BUII..DTNG REYI��V BY• � DATE APPROVED: � -L� -.�i.�0 <br /> . �___�___��_ <br /> , --------------- <br /> k�ES TO BE C�iARGED: � � Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No ' <br /> PLAN REVIEW Yes No c/ SEWER CO�TNECTION <br /> STATE SUR`H�1I'�Cr� Yes c/ No �ATER CO'vNECITON <br /> 17�tVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECITON <br /> Number of SAC Units OTHER (specify) <br /> ------------------------- ------ ---- <br /> Z0�1IIti'G CHECK LIST zoning District: /VU C (-�1NC,� .� <br /> Fire Deparnnent: Post O ce: School District: � <br /> Lot Area: Sq.ft. Acres tiVidtli Depth <br /> Survey Submitted: Yes N Date of Survey: <br /> Proposed Setbacks: <br /> Froat (Lake): . Ri ht Side: � <br /> Rear (Street): Le Side: <br /> Adjacent Structures: SVetland: <br /> Buildino Heiaht: Def. Hgt. Pea.k Hgt. <br /> Lo[Coverage: <br /> GradinJ: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: gy; • � . <br /> Zoning File: � Resolution: # Resolution Date:� • <br /> Shoreland Disc.-ict: � � <br /> Avg. Setback: Blu Setback: Lot Coverage: <br /> � ' E� � � Proposed � <br /> Hardcover: 0-�5' <br /> 75-250' . . � � <br /> 250-500' . . <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> . � <br /> REIl�A�2K.S ('in house): � <br /> �. � _ � . . <br /> ' ''' 26 <br /> . ��� . . <br />