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' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 21 (o v �Ge�,w��. Uu A� <br /> PID: <br /> DESCRIPTIONOFWORK: w,,,,,,awS, �,�,�� ��BR.s �� pv4�rr'o� f s�Ps <br /> _--- —____ _ -- --------��-------------------�-------------------------- <br /> ZOti�1G REVIEW BY: DATE APPROVED: g.�Y-n2 <br /> BUILDING REV�`� BY: DATE APPR4VED: �q-r y.o z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLA��1 REVIEW Yes � No SEWER CONNECITON <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------------------------------------------------------- <br /> ZONING CH�CK LIST Zoning District: /(IO C�-1-14>I!G e -�- <br /> ,, <br /> Fire Department: Post Office: School District: f <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: / <br /> ( <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetlan : <br /> Buildin� Hei�h[: Def. Hgt. Peal:H t. <br /> Lot Covera�e: <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 /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENiARKS (in house): � EI'��(Z�1 ��4 TF=d�^ �aTn�J srz�S i9�2� 3�x 3�_ <br /> A,►�►� �r�''S �Jo wrf - �,on,s,r�.�� A /Ue� c:�c�a��i��'` �� /Ja PS _ <br /> Na r- � �� `�' N^� 2�o��NG ST�fJ✓4,�u/JS <br /> 7 <br />