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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �S�O (�o.�k� (�/�k.� r3c..v✓.� <br /> PID: <br /> DESCRIPT'ION OF WORK: �A sT�2 f3�.-d fb�on�. f?.c,=r,t,o�o�� <br /> ZO.�i G REVIEW BY: / DATE APPROVED: <br /> BUII.,DING REV�W BY: DATE A.PPROVED; 3-2-�y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW Yes No � SEWER CONNECTTON <br /> STATE SURCHARGE Yes ✓" No WATE�tCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECfION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CI�CK LIST Zoning Districr. N c> G <br /> Fire Department: Post OfFice: School District: � <br /> Lot t�rea: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wet d: <br /> Building Height: Def. Hgt. Pe • 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 Setb k: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: �Ces N Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />