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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> • � ADDRESS OR LEGAL: 31(�O (v 0 R� S('��2�: t'J IZ <br /> PID: <br /> DESCRIPTION OF WORK: (�S=M l:�— l=�� f 5(-1 <br /> ZONING REVIEW BY: DATE APPROVED: �J' 1� <br /> BUILDING REVIEW BY: DATE APPROVED: � -Zz-c�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ,/' No <br /> PLAN REVIEW Yes _�' No SEWER CONNECTTON <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 /> ZONI�i 1G CHECK LIST Zoning District: ivo c�+�c�,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 /> P:oposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: Wetlan : <br /> Building Height: Def. Hgt. Peak H t. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcov�r Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />