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. ' <br /> . � • , <br /> CHECK O�F' LIST FOR ISSUAIVCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 6�o /�e(!4 ��►+uec.�.� <br /> PID: <br /> DESCRIPTION OF WORK: �g V rv ,r (�,v,�o P�� 1�4 c,v c, <br /> � <br /> ----------_-------------- -- -- ------------------------------------------------------------- <br /> ZO.VI�Ti G REV�W BY: � �� � DATE APPROVED: (/-� -a S <br /> BUII..DI1�G REVIE�V BY: DATE APPROVED: � �• z - �3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW Yes ,/ No SEWER COI�TivECTION <br /> STATE SURCHARGE Yes v- No WATERCONNECTION <br /> INVESTIGATION FEE Yes No �� PARK FEE <br /> SAC Yes �/ No SITEINSPECTION <br /> Number of SAC Units s� 1 S� (� �N�� OTHER (specify) � <br /> -------------------------------------------v^'-'-r---P�--�'�'---------------�---���,,�-�----�-c{�-�- -L i- Ci-�� ���� <br /> � � ,,. � <br /> ZO��tG CHECK LIST Zoning District: ���;-�^� <br /> Fire Departmen[: Post O�ce: School District: <br /> Lot Area: Sc.fr. Acres Width Depch <br /> Survey Submitted: Yes K No Date of Survey: "! •� - d S <br /> Proposed Setbacks: � <br /> Fron[ (Lake): �� Right Side: �2, <br /> Rear (Street): 1-(d� Left Side: I ►b <br /> Adjacent Structures: N��'�' Wetland: ZS � <br /> Buiiding i-iei��: De�'. Hgz. v M�-(M�CQ Feai:iibc. <br /> Lo[ Covera�e: /V/� <br /> Grading: Staff Approval Date: By: .T I� Council Approval Date: <br /> Septic: Staff Approval Date: /(�� � By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland Dis[rict: /�� <br /> Av�. Setback: � B1uff Setback: Lot Covera�e: <br /> E�istin� Proposed <br /> � <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> ---i— <br /> Hardcover Variance Required: Yes No Dace of Council Approval: <br /> REMA�tKS (in house): <br /> � <br />