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�� <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: .��=(�-�C'1 '�`.`�-�E' � � f``lC'C�C� <br /> PID: ("�_�� — ( 1`-1 - -�=3 �- L-I�i -�C:,;�%�; `�. <br /> DESCRIPTION OF WORK: (" � ,��d, ��C'-�1t�'����_ �"� � (��� <<;�;Z��r 1� <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONIi�1G REVIEW BY: �'...r ���� -- DATE APPROVED: t-���`>�� C; <br /> BUILDING REVIEW BY: � ` ��;1, �,,�__ DATE APPROVED: <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes 7� No <br /> PLAN REVIEW Yes No SEWER CONNECTION <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 /> ------------------------------------------------------------------------------------------------------------------------ <br /> ZONING CHECK LIST Zoning District: I��� -l \`� <br />` Fire Department: �UV' �-��-�-� Post Office: �,�� �,� ��"�`��-- School District: �,%�"�" �`\C. <br /> Lot Area: Sq.ft. �� �-<`�� �;� A�res Width Depth <br /> Survey Submitted: Yes� No Date of Survey: ;� �z:�-C'C <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. " <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: I �-�' � �L C7 <br /> Septic: Staff Approval Date: By: � <br /> Zoning File: # � �'�- .�`� Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 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)� ' `' ���(.;�1 � � � � '^ `J "<<` ��� ��-�'�-� ��� <br /> � ��� /"L�' i�'���`CL:.� f�n��"�.�ec� � t� (" C'. �l-_�� t�C�. _ <br /> ,. <br /> 27 <br />