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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: 3�1543 N o2TN SN-oct�. �r'� � <br /> PID: <br /> DES CRIPTION OF WORK: S?�E�°�K.� C�v�r�!��� ,ay.1/� N�� 2A i� r.� D�. <br /> ZO�TG REVIEW BY: � fQ.�_ ~~ DAT�APPROVED: 8•z.i• 0 3 <br /> BUII.DING REVIEW BY: � DATE APPROVED: �•i�� a'3 � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER11iIIT Yes ✓ No <br /> PLAi�i REVIEW Yes v' No SEWIIt CONNECITON <br /> STATE SURCHARGE Yes � No WATERCONNECI'ION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPEClTON <br /> Number of SAC�Units OTHER (specify) <br /> ZO1vI�TG CHE.CK LIST Zoning District: N� CKfMlb� . <br /> Fire Department: � Post O�ce: 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): Left Side: <br /> Adjacent Structures: � tland: . <br /> Building Hei;ht: Def. Hgt. Pe •Hgt. <br /> Lot Coveraae: <br /> Gradina: Staff Approval Date: y: Council Approval Date: <br /> Sepdc: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb ck: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' . <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�S(in house): �� <br /> 7 . , . . <br />