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Ci�CK OFF i.IST FOR ISSUANCE 4F �ERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS 4RLEGAL: /3�o No A/� D�t <br /> PID: <br /> DESCRIPTION OF WORK: �r�cs <br /> ZO�.vI�li 'G REVIE�V BY: � DATEAPPROVED: s'2$�-0�, <br /> BUII�DING REVIE`Y BY: DATE APPROVED: S•zr�6. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW � Yes ✓ No SEWER CONN'EC'I'ION <br /> STATE SURCHARGE Yes _1L No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No _� PARK FEE <br /> SAC Yes No � STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYING CH�CK 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: c7- 13-'�� <br /> Proposed Setbacks: ' F 2 � <br /> Front(Lake): (o�' _�j� ` Right Side: Z L <br /> Rear(Street): I 6 2' Ii � Left Side: it/ <br /> Adjacent Structures: �}-r�,qc,4-e,�3 Wetland: N 1� <br /> Buildin� Height: Def. Hgt. N �_ Peal:Hgt. /�l 1/{� <br /> Lot Coverage: O•� <br /> Grading: Staff Approval Date: nl I,a By: �— Council Approval Date: �' � <br /> Septic: Staff Approval Date: N �,/3- By: <br /> Zoning File: !# N° Resolution: # — Resolution Date: <br /> Shoreland District: ,�� <br /> Avg. Setback: N l �F Bluff Setback: �1 (/.� LotCoverage: 0 �Q <br /> Eusting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> zso-soo� o. k <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No .� Date of Council Approval: <br /> REviA.RKS (in house): <br /> � <br />