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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> ' ADDRESS OR LEGAL: 4��p �/�R�W DO <br /> PID: <br /> DES CRIPTION OF WORK: _ t?�-�v��n>�,N C� c� A� (L�'�t►c..Q-,y,�,.,�- <br /> ZOVPIG REV�W BY: DATE APPROVED: �-2,�-•2 <br /> BUII.DING REVIEW BY: DATE APPROVID: �6 -a�-�t.. <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLA1�1 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 CH�CK LIST Zoning District: NO Ctl'�G-� . <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(I,ake): Right Si e: <br /> Rear(Street): Left Sid : <br /> Adjacent Structures: etland: <br /> Building Height: Def. Hgt. eak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: 1# Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb k: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />