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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> AD�RESS OR LEGAL: f 6 0 o L c�vG' �r� ���� <br /> PID: <br /> DESCRIPTIONOFWORK: Ncw (t.00�n s�-n.�c.r�-�t.�= o� 6�M-�C <br /> ZOi�TING REVIEW BY• DATE APPROVED: q-Z- o S <br /> BUII�DING REVIEW B . DATE APPROVED: Q-z-�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes No ✓' SEWER COrfNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITETNSPEC"lTON <br /> Number of SAC Units OTHER (specify) <br /> ZOtiTNG CHECK LIST zoning Districr. Q,� C��O <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Widch Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Sid <br /> Rear(Street): Left Side: � <br /> Adjacent Structures: W tland: <br /> Building Height: Def. Hgt. Pe �Hgt. <br /> Lot Coveraae: <br /> Grading: Staff Approval Date: B : 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 /> 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 /> REMARI�S (in house): �. <br /> 7 . . <br />