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i <br /> , • <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: _ 6 D 1 �M ��nt��N icq H t bK t�.4rv,p c,��r� <br /> PID: ' <br /> DESCRIPTION OF WORK =c�c '?.�P� T F'�R �r� ��c.s �. <br /> ZONING REVIEW BY: DATE A.PPROVED: /2-IS-o3 <br /> B UILDING REVIEW BY: DATE APPROVED: �z- r S-o) <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/ No <br /> PLANREVIEW Yes � No SEWER CONNEC770N <br /> STATE SURCHARGE Yes �/ No WATER CONNECT70N <br /> �INVESTIGAT70N FEE Yes—� No PARK FEE <br /> SAC Yes No_� SITE INSPECT70N <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /V o G�G'e <br /> Fire Depamnent: Post O�ce: School District: <br /> Lot Area: Sq;ft. Acres rdth Depth <br /> Survey Submined: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetla : <br /> Building Height: Def. Hgt. Peak t. <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 /> F.xisting Proposed <br /> Hardcover: 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 /> 32 <br />