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� ' CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS 4R LEGAL: 3� o`�l (.i v ►v�r b S� � . <br /> PID• <br /> DESCRIPTION OF WORK: �v� /L�� <br /> _----- --------------------- ----- ---_--____ <br /> ZOVPi IG REVIEW BY: DATE APPROVED: ��-�r� � g <br /> BUII�DL1tG REVIEW B � DATE APPROVED; �r �-��i-�C 1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> pLAN REV�W Yes _� No SEWF�t CONNECTTON <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 /> ZOVPIG CH�CK LIST Zoniag District: C/l-i G <br /> Fire Department: IN��u� Post Office: �,.�p�,.,-.,t� School District: uresrrow�11.�t <br /> Lot Area: Sq.ft. 1 Z.'6 tS1c� Acres . b Z-�i� Width 2c� Depth �o�-f <br /> Survey Submitted: Yes_ C� No Date of Survey: � d • Zb—g 5 <br /> Proposed Setbacks: � <br /> Front(Lake): l `�� Right Side: � � � <br /> � <br /> Reu(Street): 13 Left Side: <br /> Adjacent Structures: A��t.�4Gc9 Wedand: <br /> Buildin;Height: Def. Hgt. c�.1,t Peak Hgt. <br /> Lot Coverage: � <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: Lot Coverage: <br /> n1�"" � Eusting Proposed <br /> Hudcover: 0-75' <br /> 75-250' <br /> Zsasoo� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS ('in house): <br /> 7 <br />