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, • <br /> CHEC�K OFF i,IST FOR ISSUANCE OF �ERNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: U I UU N�Is`��i�,i+C ��' <br /> PID: <br /> DESCRIPI�O�T OF WORK: R�CT" w�►c-�� � ��-�-� P�-�� <br /> --- ---------__--___—__--------------------- <br /> -----------------------------�------- <br /> ZO�G REVLEtiV BY: �� G��G� DATE APPP OVED: (�C�'D'��� <br /> BUII�DING REVIEtiV BY: DATE APPROVED: � - -� �� <br /> ly`EES TO BE CHA.RGED: / Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIE`V � Yes —� No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No tiVATERCONNECTION <br /> INVESTIGATION FEE Yes No P�K FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO��IG CTriE.CK LIST Zoning Distria: nl�� t�Cs-_I��2 <br /> Fire Department: Post O�ce: School District: <br /> Loc Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes I�Io Date of Survey: <br /> Proposed Setbacks: <br /> Froa[ (Lake); Riaht Side: <br /> Rear (Street): Left Side: <br /> Adjacenr �r��n1res: etland: <br /> Buil�lin� Hei�t: Def. Hgt, eal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Scaff Approval Dace: � �Y� ���Ll� <br /> Zoaing File: !# Resolution: � Resolution Date: <br /> Shoreland District: <br /> Avg. Se[back: Bluff e[back: L.o[Coverage: <br /> E�ist' � Proposed <br /> 0 <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> Zso-5oo� �• �G. <br /> 500-1000' �� <br /> Hardcover Va;iance Required: Yes No Da�e of Council Approv2.1: <br /> �E1L�RKS (in house): <br />