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' CHECK OFF LIST FOR ISSUANCE OF PERiI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRFSS OR LEGAL: �Z�'l� Il: G(!'iZ E 5 i-tc�i�: �(�;2�v-Q � <br /> PID: <br /> DESCRIPTION OF WORK: Tc'�n(� i�'v�� �,� 3� <br /> --------------------------- <br /> ZO1�tING REVIE`� BY: � �' .-- DATE A,PPROVED: '7- (- �r �, <br /> BUII.,DING REVIEW BY: t� ,,� DATE APPROVED: --t�- �—�� <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes V-` No � <br /> PLAN REVIEW Yes No ✓ SEWER CO�INECITON <br /> STATE SUR`HARG� Yes � No ✓' WATER CO�TNECTION <br /> INVESTIGAT'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> - ------------------------------------- -------- <br /> ZO�G CIiECK LIST Zoning District: �Q2.��� <br /> Fire Department: �.pl•r' � Post Office: �,.�� School District: a��'J <br /> � <br /> Lot Area: Sq.fr. Nv C�t#��0 Acres -- Width Depch <br /> Survey Submitted: Yes No�_ Date of Survey: 5' ,�� �r.�N <br /> Proposed Setbacks: <br /> Front (Lake): . ��r, ` + Right Side: (C�:` � <br /> Rear(Street): i��� �". Left Side: 1 vc: ' i` <br /> Adjacent Structures: c�` �Vetland: <br /> Building Heioht: Def. Hgt. ti i� Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: � <br /> ;�, • Shoreland Dis�ict: . <br /> �' Avg. Setback: Bluff Setback: Lot Coverage: <br /> • Ezisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' � <br /> 250-500' • <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> , <br /> REI�ZARKS (in house): <br /> '" 26 <br /> , • � . <br />