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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 4o W►y aT c.`w o od (L�� � <br /> PID: <br /> DESCRIPTIONOFWORK: �-�c,�.�`,rs E,,4,�,.r„p <br /> ZO,YIYi G REVIEW BY: DATE APPROVED: 9-/�� <br /> BUII.,DIYG REV�W BY: DATE APPROVID: 9-�tr�3 � � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER11iIIT Yes �/ No <br /> PLAN REVIEW Yes _� No SEWER CONNECITON <br /> STATE SURCHARGE Yes ,/ No WATIItCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: IP/L-//� . <br /> Fire Department: � Post OfFice: School District: • � � <br /> Lot Area: Sq�.ft. Acres /. S� Width Z�7 Depth <br /> Survey Submitted: Yes No Date of Survey: � <br /> Proposed Setbacks: � � � • � <br /> Front(Lake): (b 2 � Right Side: 1 �3 i � <br /> Rear(Street): 10�B� `1= Left Side: Z 3� � <br /> Adjacent Structures: I 1' �Vetland: ,�� . <br /> Building Hei,,g.ht: Def. Hgt. o •7� Peal:Hgt. <br /> Lot Coveraoe: b•`1 <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: # Resolution Date: � <br /> Shoreland District: /la <br /> Avg. Setback: Bluff Setback: Lot Coverage: L• `f <br /> Existino Proposed <br /> Hardcover: 0-75' <br /> 75-250' � <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): �� <br /> 7 . ' . . <br />