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CHECK OFF LIST FOR ISSUANCE OF PER1vIITS <br /> - , FOR OFFICE USE ONLY � . <br /> _ADDRESS OR LEGAL: 1 �O S /lk� Af2�►� D� <br /> PID: <br /> DESCRIPTION OF WORK: d��) N C� <br /> . � � <br /> ZO�'G REV�W BY: DATE APPROVED: �/�i—� <br /> BUII.DING REV�W BY: i+i'//� DATE APPROYED: <br /> FEES TO BE CHARGED: ��p!�j Misc. �ees Ca cufatedyBy: f <br /> PERNIIT Yes r/✓ No ; <br /> PLAN REVIEW Yes _� No SERTER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> Z0�1I:�iG CHE.CS LIST zoning Districr. v C � <br /> Firo 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 /> Front(Lake): Right Side: <br /> Reu(Street): Left Side: <br /> Adjacent Strucmres: We and: . <br /> Building Height: Def. Hgt. Pe •Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolutioa: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb k: I.ot Coverage: <br /> E�t�g Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Date of Council Approval: <br /> RE�iAR��S(in house): <br /> 7 <br />