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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LI GAL: Z o c�i21�ru o v r c H a R-� i2t,p,r1) <br /> PID: <br /> DESCRIPTION CIF WORK: $}T-rtc r;2vsses 0.4 t_--x 6A,V46e• <br /> ZONING REVIEW BY: i. I _ DATE APPROVED: 5'-S-O'.( <br /> BUILDING REVIEW BY:— AIM*.. DATE APPROVED; S-_ -o 1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes v 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 SACfr Units OTHER(specify) <br /> 1 - <br /> ZONING CHECI LIST Zoning District: No CHA/46e <br /> Fire Department: Post Office: School District: • <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Si. . <br /> Rear(Street) Left Side: <br /> Adjacent S ctures: W tland: <br /> Building Height: Def Hgt. • ak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Appr al Date: By: Council Approval Date: <br /> Septic: Staff Approv Date: By: <br /> Zoning File: # j Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac La Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes i o Date of Council Approval: <br /> REMARKS(in huse): • T AC k 0,1 Iwo 4r, 0 +J N o ivn e'"/ <br /> V eat c-1 c7 as c,i if 2���►o r ( (? (1.1/41 ca v w4v oar s r <br /> _ <br /> 7 <br />