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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /S6 5 04-0NN ©/4/16. <br /> PID: <br /> DESCRIPTION OF WORK: C& Ts 1) 2<<,.Q,A ,V (,j(124�, <br /> ZONING REVIEW BY: DATE APPROVED: <br /> BUILDING REVIEW B : DATE APPROVED: <br /> FEES TO BE CHARGED: t 44l sc Fees Calculated By. <br /> PERMIT Yes 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 SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: I Yes bL No Date of Survey: o' t�t lam: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: 3 �%t t:ir° �s K'• <br /> Adjacent Structures: — Wetland: <br /> Building Height: Defj. Hgt. ^ Peak Hgt. <br /> Lot Coverage: _ <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approv4l Date: — By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: (V4 <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 hoµse): <br /> 7 <br />