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a <br /> CHECK OF'F LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ��j v /�i9��o o� <br /> PID: <br /> DES CRIPTION OF WORK: (lz�o=' �x —�v5i��✓ a.�� _ , �- e�' <br /> ZO�PIG RE'VIE`V BY: � N DATE APPROVED: S-Z Y `� '� <br /> BUII.,DI�IG REV�`V BY: DATE APPROVED; q- L y-�y <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PER.NIIT Yes � No <br /> PLAN REVIEW Yes � No SEWER CO�INECTION <br /> STATE SURCHARGE Yes � No WATERCOiVNECI'ION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZOivIi�1G CH�CK LIST Zoning District: �d G/-�'�°�"� <br /> Fire Departmenc: Post Office: School Distric[: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o Date of Survey: <br /> Progosed Setbacks: <br /> Froat(Lake): 'ght Side: <br /> Rear (Street): Left ide: <br /> Adjaceat Structures: �Vetland: <br /> Building Hei�ht: Def. Hgt. Peak Hgt. <br /> Loc Coveraoe: <br /> Gradina: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: BY� <br /> Zoning File: # Resolution. # Resolutioa Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Se ack: LocCovera�e: <br /> Ezistin� Proposed <br /> 0 <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1OQ0' <br /> Hardcover Variance Required: Yes No Da[e of Council Approval: <br /> REMA.RKS (in house): n-..¢�.�5 A-���.e. /�-^� �' � ���uE �,n� s�� <br /> S-e�' ��-c�res - <br /> 7 <br />