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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY . <br /> 'ADDRESS OR LEGAL: 3 z-au fl/�Iv�l�r UA-,�•.P <br /> PID: <br /> DESCRIPTION OF WORK: ,(Z <br /> ZOi�TING REVIEW BY: ic/ DATE APPROVED: <br /> BUII�DING REY�W BY: DATE APPROVED: 9—l8 -d 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> pLAN REVIEW Y� No ,�- SEWER CONNECTION _ <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION. <br /> Number of SAC Units OTHER (specify) <br /> ZOti�TG CHECK LIST zoning Districr. <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: Wetlan <br /> Building Height: Def. Hgt. Peal:H . <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: . . <br /> Shoreland Disuict: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vuiance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): �� <br /> 7 <br />