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. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFTCE USE ONLY <br /> ADDRESS OR LEGAL: 3�2 0 -�r�c,o6s Wt,�� <br /> PID: <br /> DESCRIPTION OF WORK: ip rc.�� <br /> ZO.�tPli G RE'VIEW BY: � ' DATE APPROVED: �•z g -o S <br /> BUII.DING REVIEW BY. DATE APPROVED: b•t ts-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW � Yes �' No SEWER CO�iNECTION <br /> STATE SURCHARGE Yes � No WATER CONNEC"TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CHE.CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes gc_ No Date of Survey: o,.r �=�� � <br /> Proposed Setbacks: <br /> Front(Lake): ��3 t Right Side: 1`t3� � <br /> Rear (Street): y?,o` '� Left Side: l b�� t <br /> Ad;acent Structures: �-��t.�--7 Wetland: N ir9 <br /> Buildin� Height: Def. Hgt. — Peak Hgt. '� <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: "— By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: �J J <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> E�isting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�iA.RKS (in house): <br /> � <br />