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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �Z6� n..,o�'�-���s-<-fo2c= �2 <br /> PID: <br /> DESCRIPTION OF WORK: ,"ZX.w.a o c� �s� Ft�o2+ r�a p �z-,:.,� -�- t�,��-ti4�e �-�v�,T� <br /> ZO.�I.� G REVIEW BY: -''! ��1�_ DATE APPROVED: G •/y� o y <br /> BUII..D�1G REVIE`V BY�%�,;,�� DAT'E APPROVED; � -/�- �� <br /> — _------_--_—____----,--------- --------------------------------------------------- ---- <br /> FEES TO BE CHA.RGED: , Misc. Fees Calculated By: <br /> PER�VIIT Yes . No <br /> PLAi�t REVIEW Yes No SEWER C0�INECTION <br /> STATE SURCHARGE Yes No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONIYG CHE.CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> L,ot Area: Sq.ft. Acres Widch Depch <br /> Survey Submitted: Yes �- No Date of Survey: �•Y- =_: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: � <br /> Rear (Street): Left Side: \\ ���s ��j��t'r.� <br /> 1 <br /> Adjacen[Structures: `Vetland: r� ���.e� vv���.r s <br /> ! <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: !# Resolutioa Date: <br /> Shoreland Dis[rict: <br /> Avg. Setback. o.(� ;:.y. rvi��, Bluff Setback: N �� I.oc Coverage: - <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-Z50' �p/C <br /> 250-500' <br /> SOa-1000' � <br /> Hardcover Variance Required: Yes No�_ Da[e of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />