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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 3�-,.5�; ;;;�c�2�-� � � r�x�:Z,t� /�c2- <br /> PID: <br /> DESCRIPTION OF WORK: (��,-Y2.w� r�� ,Z,�: z-✓a,�,��,G w�GI <br /> - --- --- - --- ------------------------------------------------�------------�-- <br /> ZOV�1G REVIE�V BY: �- �C DATE APPROVED• b i y � <br /> BUII.,DI�tG REV�`V BY: ' — DATE APPROVED; <br /> — _______--_____--____�,�----- -------------------------- ------------------ ---- <br /> FEES TO BE CHA.RGED: "�`'��Misc�. Fee Calculated �h <br /> Y= <br /> PER�v1IT Yes ,,-��� No <br /> PLAi�t REVIEW Yes No SEWBR COiVNEC I'ION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes I�'o PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning Districc: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wid[h Depth <br /> Survey Submitted: Yes No n Date of Survey: � ►-�i•�� <br /> Proposed Setbacks: . <br /> � <br /> Front(Lak�): Righ[Side: � <br /> Reaz (Street): - -" Left Side: � <br /> Adjacent Structures: — Netland: <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 District: <br /> Avg. Setback: Bluff Setback: L.otCoverage: <br /> EzistinQ Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1Q00' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />