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CHECK OFF LIST FOR ISSUANCE OF PERI�IITS <br /> ' FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: 37 c� o C.�v I M�S►�^� <br /> PID: <br /> DESCRIP'TION OF WORB: ns�c..� R�c S <br /> ZO.�i G REV�W BY: DATE APPROVED: /�- !� -�z�j <br /> BUIIrDL�1G REV�W BY: DATE APPROVED; �( -� � -s`r <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes v� No SEWER C0�INECTTON <br /> STATE SURCHARGE Yes v No `VATERCONNECI'ION �3>>�� ��� � <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes �/ No SITEINSPECTTON <br /> Number of SAC�Units �_ OTHER (specify) <br /> Z0�1P1G CH�CK LIST zoni.ng Districr. G/L- /�- <br /> Fire Department: ✓W����� Post O�ce: w�-t�-�✓3- School District: t�+-�57�^'�-'� <br /> -T <br /> Lot Area: Sq.ft. �9 Z-c� Acres , �`i`I Width 3� Depth �Oy <br /> Survey Submitted: Yes pC No Date of Survey: I l� • "z�-5°t <br /> Proposed Setbac!cs: <br /> Front(Lake): �S Righ[Side: l � <br /> Rear (Street): I 3 Left Side: � <br /> Adjacent Structures: �Tn�-u�-� Wetland: — <br /> Building Hei�t: Def. Hgt. C��lst- Peal:Hgt. <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 /> � Av�. Setback: Bluff Setback: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-7�' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): _ <br /> 7 <br />