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CHECK OFF i.,IST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 Z o s N 02+� A;z.v►� (J 2 <br /> PID: ` <br /> DESCRIPTIO�T OF WORK: (Jcctc 2� - _ -r <br /> ----- -- —____----___---- _-------------------------------- <br /> ZO�tG REVIEW BY: �Q1w�,,,__ DATE APPROVED: •b Zi• o�, <br /> BiTII�DING REVIEtiY BY: DATE APPROVED; �.-z�-o� � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIE`� � Yes ,/ No SE`VER CO�INEC'ITON <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No —� PARK FEE <br /> SAC Yes No _� SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYIl�IG CH�CK LIST Zoning District: No G�•4s�y�t. . <br /> �J <br /> Fire Department: Post Office: School District: � � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes IVo Date of Survey: <br /> Proposed Setbacks: _ . <br /> Froat(Lake): Right Side � <br /> Rear(Street): Left Side: <br /> Adjacent Structures: W land: <br /> Buildin�Hei�ht: Def. Hgt. P al:Hgt. <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 District: <br /> Av?. Setback: Bluff Setbac : L.ot Covera;e: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da[e oE Council Approvat: <br /> RE`�LA.RKS (in house): <br />