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CHECK OFF LIST FOR ISS UANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �G�.�} I���-v r 2�.►� <br /> PID: <br /> DESCRIPTION OF WORK h C � S <br /> ------------------------------------------------------------------ <br /> ------------------------------------------------------ <br /> ZONING REVIEW BY.• 2.� DATEAPPROVED: I l v <br /> BUILDING REVIEW BY.• DATEAPPROiIED: ,i-r.5 -�� <br /> FEES TO BE CHARGED: Mrsc. Fees Calculated By.� <br /> PERMIT Yes f No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No�� PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Ni�mber of SAC Un�its OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning Distr•ict: L.�. � � � <br /> Fire Departnaent: Post Office: School District: <br /> Lot Area: Sq ft. Acr•es G�'idth Depth <br /> Sui-vey Submrtted: }es No Date of Sc�rvey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: T( �IS 1 S � n <br /> Rear(Sti�eet): Left Side: � h - �lV�d r�e.,p�raeeam�-� <br /> ,�djacent Stra�ctirres: YI%tland: ���5'1� S�U C-�, <br /> s Zlme.- �� �`�� <br /> 1�. <br /> Birrlding Height: Def. Hgt. Peak Hgt. � �� (�C A (.�� <br /> Lot Covei•age: ��n��� �� Q� q q,��� � <br /> Grading: Stafff9pproval Date: By: Council Approval Date: <br /> Septic: Staff.4ppi•oval Date: By:� <br /> Zoning File: # Reso(z�tion: # Resolution Date: <br /> Shoreland District: �IICGi�D Permit: <br /> Avg. Setback: Bla ff'Setback: Lot Coverage: <br /> Existing Proposed <br /> Hu��dcover: 0-7�' <br /> ?�-?�0' <br /> �sn-sno� <br /> S 00-1000' <br /> Hardcover [�'a�•iaf�ce Reqt�ired: I'es _ ,1�'o Date of CoTrnci!Approval: <br /> REMARKS(in{touse): <br /> 33 <br />