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• <br /> . CHECK 0k' ' LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY. <br /> ADDRESS OR LEGAL: tZOO .L..i 1 ' CA ,2O 4" <br /> PID: <br /> DESCRIPTION OF WORK: CN-rtz N[,c: rh0NLim c-N <br /> Z- N .TNG REVIEW BY: c (Qi- —� DATE APPROVED: (o -31-o'- <br /> BO DATE APPROVED: t b--31-o t <br /> '- <br /> BUILDING REVIEW BY: � � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIEW • Yes t7. No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC•Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fite Department: <br /> Post Office: School District: • <br /> Lot Area: Sq.ft. Acres • Width Depth <br /> Survey Submitted:• Yes aC - No Date of Survey: o Ft t <br /> Proposed Setbacks: • <br /> Front(Lake): S 't" Right Side: <br /> Rear(Street): Left Side: S <br /> • <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt, Peak Hgt. `$ <br /> Lot Coverage: 0 , 4- <br /> Grading: Staff Approval Date: go C 1.1 y By: - Council Approval Date: <br /> Septic: Staff Approval Date: til By: <br /> Zoning File: # — Resolution: # — Resolution Date: <br /> Shoreland District: /JO Coverage: <br /> Avg. Setback: Bluff Setback: LLotoposed <br /> Existing <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Yes Da:e of Council Approval: <br /> ci?"dCo':er Variance Required: .L No <br /> BELS (in house): <br />