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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> A,�DRESS OR LEGAL: 1 Sti O L.c�N C� LAIcc: E��U� <br /> PID: <br /> DESCRIPTIONOFWORK: �qs�.MCN-r I—�n�isH <br /> ZOr�1G REVIEW BY: 1�1 DAT'E APPROVED: <br /> BUILDI1ti G REVIE`� BY: DATE APPROVED: /- 2�• o Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERl�IIT Yes ✓ No <br /> PLAN REV�W Yes r/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No �/ STTEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZO\7�1G CH�CK LIST Zoning Dis�ict: N O e f�-+�►n��E. <br /> Fire Department: Post O�ce: School District: � <br /> L.ot Area: Sq.ft. Acres W th Depth <br /> Survey Submitted: Yes I�o ate of Survey: <br /> Progosed Setbacks: <br /> Front (Lake): Ri�t Side: <br /> Rear (Street): Ixft Side: <br /> Adjacent Structures: �Vedand: <br /> Buildin�Hei�t: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: S:aff Approval Date: By: Council Approval Date: <br /> Septic: Staff Appro�•al Date: By: <br /> Zonin� File: # Resolution_ r Re lution Date: <br /> Shoreland District: <br /> Avg. Setback: B:uff Setback: L.ot Covenge: <br /> E.iistinQ Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Ha.:�cover Variance Required: Yes No Date of Council Approval: � <br /> RE�1ARbS (in house): <br /> 7 <br />