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� CHECK OF'F LIST FOR ISSUANCE OF PERMITS � <br /> ' FOR OFFICE USE ONLY � � � <br /> ADDRESS OR LEGAL: L-f b 6`�t P�r o R.�'+ s t-�►�odt.��, ,p�. � <br /> PID: <br /> DESCRIPTION OF WORK: Z nrc,( �,1,� /�A o,-n orJ ��____ �____� <br /> ZOVPIG REY�W BY: DATE APPROVED: �-�- s y <br /> BUII.DING REVIE'�'V B : DATE APPROVED; � �q -oy <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes „/ No <br /> PLA.1V REVIEW Yes � No SEWER CONNEC'ITON <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONII�IG CHE.CK LIST Zoning District: <br /> Fire Department: Past Office: Schaol District: � <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: t�� r'< <-�= <br /> Progosed Setbacks: , � <br /> Froat(Lake): (p I� Right Side: bto <br /> Reaz(Sueet): I i �b Left Side: �e`l' <br /> AdjacentStructures: l� ' Netland: � � , <br /> Building Height: Def. Hgt. 21' Peal:Hgt. 2`'� � <br /> Loc Coverage: �1 ��1 b <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: ' By: <br /> Zoning File: # —' Resolution: # Resolutioa Date: � <br /> Shoreland District: N� <br /> Avg. Setback: Bluff Setback: LfltCoverage: <br /> Eaisting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variaace Required: Yes No Date of Council Approval: <br /> RF.MARKS(in house): <br /> 7 <br />