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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3S�Z t.� v��,�srn N A�..t � . <br /> PID: <br /> DESCRIP'I'ION OF'WORK: (j�e�p,/a�rt,S ' <br /> ZO�tPIG REVIEW BY: �!4 DATE APPROVED: <br /> BUILDTivG REV�W BY: DATE APPROVED; GS - i7-v3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�I�IIT Yes ./ No <br /> pLAl�t REVIEW Yes .i No SEWER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATER CONNEC'TiON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: N� r�4l�+�.( , <br /> Fire Department: � Post Office: 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 /> Reaz(Street): I.eft Side: � <br /> Adjacent Structures: W tland: . <br /> Building Hei�ht: Def. Hgt. Pe •Hgt. <br /> Lot Coveraae: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: !� Resvlution Date: � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setba : L.otCoverage: <br /> Existin; Proposed <br /> Hazdcover: 0-?5' <br /> ?5-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMA.RKS (in house): �� <br /> � . . . <br />