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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> 10 FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: � b CA s Th4'- 3 <br /> PID: <br /> DESCRIPTION OF WORK:2 O.r-r s I-04- 0__6 041A- Fe, <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW BY: DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes (7 No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST pf Zoning District: c•V oft N-C. <br /> Fire Department: Post Office: School District: __.. <br /> Lot Area: So ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak ffgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: - <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): fPp t l fly jot,,,,-re s.^-i y 97 <br /> 31 <br />