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� <br /> . ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: S�Q �vo Rnf ,q� � <br /> PID: . <br /> DESCRIPTIDNOFWORK: 2 S ,o. r,v �o9-�t,r� <br /> ------------- <br /> ZONING REVIEW BY: DATE APPROVED: /d- �- o'z <br /> BUILDING REVIEW BY.• DATE APPROVED: � o - � - •2 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLANREVIEW Yes_� No SEWER COIVIVECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNEC770N <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECT70N <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <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 /> F�mrt (Lake): 1 1 0 Right Side: gb� <br /> Rcar (Street): � 0 y Left Side: S'/ � <br /> Adjacent Structures: n///�- Wetland: iV//� <br /> Building Height: Def. Hgt. d./G, Peak Hgt. <br /> Lot Coverage: /V: C . <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staf`'Approval Date: By: <br /> �0 <br /> _,yG�' Zoning File: # Resolution: # Resolution Date: <br /> Gt,,p�,�- . <br /> Shoreland Distnct: <br /> Avg.Setback: Blu,�`'Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> asasoo� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approva[: <br /> REMARKS(in house): <br /> 32 <br />