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• CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: L�(o5 P�42 i�rv w o o� ��✓-� <br /> PID: <br /> DFSCRIPTION OF WORK: I�. T c.i.-Q.,.� (?,�.��.�o(�.Q� <br /> ZO.vI�Ti G REVIEW BY: (/a DATE APPROVED: <br /> BUII.DI�i TG REVIEW BY: DATE APPROVID; �Z- �� - v,3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes _� No t/ SEWER CONNEC"ITON <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 CH�CK LIST Zoning District: N o C�h4,�•�c,P .. <br /> cJ <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 Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Ned d: <br /> Building Height: Def. Hgt. Pe�Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: B� Council Approval Date: <br /> Septic: Staff Approval Date: By <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Covecage: <br /> Existino Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Yes ho Date of Council Approval: ' <br /> REMARI�,S(in house): <br /> 7 <br />