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�: � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> . FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S�o (�rc�RTH A�rv` (J2 <br /> PID: <br /> DESCRIPTION OF WORK: I� �p i n o� <br /> ZONING REV�W BY: DATE APPROVED: /�' 22 '�j <br /> BUILDING REVIEW BY: DATE APPROVED: �t - z`z�S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes t� No SEWER COTfNECT'ION <br /> STATE SURCHARGE Yes c/ No WATERCOrfNEC"TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: L 12-J/-� <br /> Fire Department: y►iW�n�� Post O�ce: yV��/vD School District: �S�N�c.9 <br /> Lot Area: Sq.ft. N��l�i4nr�,t Acres ' Width ` Depth <br /> Survey Submitted: Yes � No Date of Survey: <br /> Proposed Setbacks: � � <br /> Front(Lake): t � `(3 i= Right Side: �7 -� <br /> Rear(Street): z� % Left Side: tb7 = <br /> Adjacent Structures: /�}�'FGNL� Wedand: N//'4 <br /> Building Height: Def. Hgt. C9• � Peak Hgt. -- <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: Y,Pg <br /> Avg. Setback: c�. k Bluff Setback: rv/�t Lot Coverage: -- <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' O•�L <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />