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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � � ~ FOR OFFICE USE ONLY . <br /> ADDRESS�R LEGAL: ��gS n�o tL�-rt.srro�u, p 2 <br /> PID: <br /> DESCRIPTION OF WORK: .2�,-no,,,N,�r w a1� <br /> ZOiVING REVIEW BY: DATE APPROVED: G • s-�3 <br /> BUII.DING REV�W BY: � � DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> pERMIT Yes �' No <br /> pLAN REVIEW Yes No � SEWER COrfNECTION <br /> STATE SURCHARGE Yes _,G No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> _____�_____ __ ____________�__---------------------------___________�------------------------ <br /> Z4ti'ING CHECK LIST Zoning District: o .c�c. m z �o �;�,�,a�e <br /> Fire Department: Post Office: School District:. <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Sueet): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Hei�ht: Def. Hgt. Peak Hgt. <br /> Lot Covera?e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolu ion Date: . . <br /> Shoreland District: <br /> Av�. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No D te of Council Approval: <br /> REMARKS (in house): <br /> 7 <br /> 1 <br />