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, - � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�C7 t�vo2-rt-i ,�2.v,� �rv-�. � <br /> PID: <br /> DESCRIPTION OF WORK: „q��J i 7� o� 0� � ��4 2�-6-�. <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING REVIEW BY: DATE APPROVED: �i -�a-g y <br /> BUILDING REVIEW BY: D�TE APPROVED: //• 3c�-�i4 <br /> ----------------------------------------------�= ---------------------------------------------------------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes +� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: I'V� G 11`�S1 'I <br /> Fire Department: Post Office: School District: ' <br /> Lot Area: Sq.ft. Acres Width Depth I <br /> Survey Submitted: Yes No Date of Survey: II <br /> i <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wet and: <br /> Building Height: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: B • Council Approval Date: <br /> Septic: Staff Approval Date: ��—,j4 -`�f By � <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): `�°` �� t� ����v G S r r� <br /> =�v� `{� �c-� .9-c_.,� — /Z LFY��O <br /> �-v � �L � u � ?7C S Si � �+'S�e.I <br /> 7 <br />