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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y��� ND�� �^ rJ/Z <br /> PID: <br /> DESCRIPTION OF WORK: (fi-,v�0 F1-�-r�ry��� �wr.rE o��- C�% < ,6� G•�s,c� <br /> ZO.vI�Ti G REVIEW BY: DATE A.PPROVED: S-?�-a 3 <br /> BUII.DING REV�`V B : DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�tiIIT Yes � No <br /> PLA��1 REVIEW Yes No SEWER CO�INECITON <br /> STATE SURCHARGE Yes No WATERCONNECITON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> --_______---�__ _____ _w______�_--------�-- 2 �6 <br /> ZOVING CH�CK LIST Zoning District: ' C� ( 0 C�"" -�" �. <br /> Fire Department: Post Office: School District: � <br /> I,ot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Dat of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): �� � Right Side: <br /> Rear(Street): I.eft Side: <br /> Adjacent Structures: Wedand: <br /> Building Hei?ht: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resol tion Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: LocCovera;e: <br /> EzistmQ Proposed <br /> 0 <br /> Hazdcover: 0-75' � <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No ate of Council Approval: <br /> RENIARKS (in house): r'yt G w D Go.�.�-r,�c ff� � iss�-- <br /> lSS!/�� � /�'72os s�n/ ��%7'L�� �P�l �Yt a T <br /> 7 <br />