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CHECK OFF LIST FOR ISSUANCE OF PERiI�ITS <br /> r ' FOR OFFICE USE ONLY � <br /> ADDRESS OR LEGAL: 2�7 6 S PH�1A5�1N-r (Zoa-� <br /> PID: <br /> DESCRIPTION OF WORK: 12�P lAt� cr N'TY1.y <br /> , <br /> ZOrZ\G REVIEW BY: DATE APPROVED: 7• Z Y-v� <br /> BUII..DI�i TG REVIEW BY: DATE APPROVED: �7- z.s"~� <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 WATF1tCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�'G CHE.CK LIST Zoning District: /t!o G t�n/� N, _ . <br /> Fire Depaztment: 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(Streei): Left Side: <br /> Adjacent Structures: Wetl d: . <br /> Building Height: Def. Hgt. Peal: gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eusting Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-50�' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARI�S(in house): <br /> 7 <br />