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CHE�K OFF i.IST FOR iSSUANCE �F �E�tMITS <br />' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �33 H ac�..�n��� !�� <br /> PID: <br /> DESCR�tON OF WORK: �LL�v�.-��p CL .��1�� -t- (�'��'d�'/ (Z-oa►�-�-- <br /> ZOVPtG REVIEW BY: N DATE APPROVED: <br /> SUILDING REVIEtiY BY: � DATE APPROVED; � — Zz.-o c. <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE`V � Yes �/ No SE`VER CO�tNECITON <br /> STATE SURCHARGE Yes ✓ No WATERCONNEC'ITON <br /> INVESTIGATION FEE Yes No ./ PARK FEE <br /> SAC Yes No _� STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOVItvG CH�CK LIST Zoning District: ivo G�,q.v� , <br /> Fire Department: Post O�ce: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: . . <br /> Front(Lake): Right Si . � <br /> Rear(Street): Left Si e: <br /> Adjacent Structures: Wettand: <br /> Buildin�Heiaht: Def. Hgt. Peal:Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: Council Approval Date: � <br /> Septic: Staff Approval Date: By• <br /> Zoning File: /# Resolutioa: # Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setback: I.ot Covera�e: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Dace of Council Approval: <br /> RE`LARKS (in house): <br />