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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S 6 5 [�c:.�F s�• <br /> PID: <br /> DESCRIPTION OF WORK: �1�ww�_ ���c�Q S�_�,�..� [_�.��wc, s�A c� <br /> ZO.�i TG REVIE`V BY: � DATE APPROVED: S- Z� -�� <br /> BUII�DING REVIE`V B : DATE APPROVED: �- z� -�s <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _l� No <br /> PLAN REVIEW � Yes � No SEWF�t CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No v STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONI�iG CH�CK LIST Zoning District: c� C <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 Side: <br /> Rear (Sueet): Left Side: <br /> Adjacent Structures: W land: <br /> Buildin� Height: Def. Hgt. P al:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # Resolution: !# Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Covera�e: <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REVIA.RKS (in house): <br /> � <br />