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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . - ' FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I(�bU l�rv G l,A lc.�c. <3 t�V b <br /> PID: <br /> DESCRIPTION OF WORK: l�..at-c�-�en� f?.r-�7 4R�-- <br /> _________------ -- ---- -------------------------------------------------�,----_--- <br /> ZONING REVIEW BY: DATE APPROVED• �/'� <br /> BUII.DING REVIEW BY: DATE APPROVED: Z-� c�—�� <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 WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <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 /> Rear(Street): Left Side: <br /> Adjacent Structures: Wedand: <br /> ,C Building Height: Def. Hgt. Peak Hgt. <br /> �0 <br /> Lot Coverage: <br /> �` <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approvai Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />