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� ' CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '�y Z p N 0 R'n i s t-b�-t,�; 1(�2 <br /> PID: <br /> DESCRIPTION OF WORK: 2� �,�t—� -- <br /> . <br /> ZO�'G REV�W BY: DATE APPROVED: �.�o-o0 <br /> BUII.DI�i TG REVIEW BY: DATE APPROVF.•D; 1 -r o -o v <br /> FEES TO BE CAARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No ;, <br /> PLAN REVIEW Yes �'" No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONL�TG CH�CS LIST Zoning District: iv n c r�r�4N� � <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 /> Reaz(Street): I.eft Side: <br /> Adjacent Structures: We and: . <br /> Building Height: Def. Hgt. Pe •Hgt. <br /> Lot Covera;e: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Sepdc: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setba : I.ot Coverage: <br /> Eusting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />