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, , . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESSORLEGAL: 12..n ,tio�a�+ A�,,,,, q2• . <br /> PID: <br /> DESCRIP'I'ION OF WORK: c.a�cc �4 c.c.,.c-ss s;,y„cs <br /> ZO.�tI�i IG RE'VIEW BY: cP CQ-�-�,_ �� ~ DATE APPROVED: 6-�-� <br /> BUILDI�i 1G REV�W BY: DATE APPROVED; b-6• �3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓' No <br /> PLAN REVIEW Yes �/' No SEWER CONNECTiON <br /> STATE SURCHARGE Yes _� No WATER CONNECITON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECfION <br /> Number of SAC�Units OTHER (specify) <br /> ZONni TG CH�CK LIST Zoning District: /VaT i��+-�o�- �vo c,�6P _ <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq�.ft. Acres � idth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: �5` fia cpT.L,^'t S <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peal: gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: B Council Approval Date: <br /> Septic: Staff Approval Date: By <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' ��� � <br /> 500-1000' <br /> Hudcover Variance Required: Yes No Date of Council Approval: <br /> RE1�ZA.RKS(in house): <br /> 7 <br />