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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (��{� �n-T-�cq µi�N C�,,,,�DS <br /> PID: ' <br /> DESCRIPTION OF WORK �rv�ov�L (,o�.. c�e,�C.._ <br /> ZONING REVIEW BY.• DATE APPROVED: y-a � -c,Y <br /> BUILDING REVIEW BY: DATE APPROVED: �-Li- o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _L/' No <br /> PLANREVIEW Yes �/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes v` No WATER CONNECT70N <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECZ70N <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /vo G���p <br /> d� <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: Wet . <br /> Building Height: Def. Hgt. P ak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Sta,�'Approval Date: By: <br /> Zoning File: # Resoluti.on:# Resolution Date: <br /> Shoreland District: <br /> Avg.Setback: Bluff S tback: Lot Coverage: <br /> Existi g 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 />