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, <br /> CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> ' ' ' FOR OFFICE USE ONLY <br /> � ADDRESS ORLEGAL: ��v PAR�^1woo� <br /> PID: ° <br /> DESCRIPTION OF WORK: (�o� �-x-r�r.�s�o,.► -c P,4�o �Q ooQ <br /> ZO�TPi TG REVIEW BY: -� C� l��w—_ ~� N DATE APPROVED: _ S- iS •o Z <br /> BUII.DING REVIEW BY: DATE APPROVED: s_, 7.n z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> PLAN REVIEW Yes 1//� No SEWER COrfNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNEC"ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SIT`EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: /Uc� C,�1��rv`�� . <br /> Fire Department: Post Office: School District: � <br /> Lot Area: Sq.ft. Acres Wi th Depth <br /> Survey Submitted: Yes No te of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: �t Resolution: # Resol tion Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L,ot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No ate of Council Approval: <br /> RENIA.RKS(in house)• <br /> 7 <br />