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' �HECK OFF i�IST FOR ISSUANCE OF �ERMITS <br /> , � FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: 2 b�c� fZJ�IN[�c./ �o� <br /> PID: <br /> DESCR�'ION OF WORK: Ziv sna�. cG�$5 W r N<✓�4� ��r l�� t,�c.� <br /> ZO�tG REVIE`V BY: r---�✓//�ww DATE APPROVED: <br /> BUII�DIN'G RE'�tiY BY: DATE APPROVED; f��31-o t . � <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIE`V � Yes No �/ SEWER CO�INECTION <br /> STATE SURCHARGE Yes �No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZOYit�IG CHE.CK LISTW Zoaing Districr. ,�(J v' Gt'�✓ , <br /> � � . <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(Lake): Ri�t Side: � <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wet and: <br /> Suilding Hei�}it: Def. Hgt. Pe •Hgt. <br /> Lot Coverage: <br /> Grading: Scaff Approval Date: y: Council Approval Date: ' <br /> Septic: Staff Approval Date: Y� <br /> Zouin, File: (# Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Sluff Setba k: L.ot Covera�e: <br /> Ecisting Proposed <br /> Hardcover: 0-75' <br /> 75-25Q' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da[e oE Council Appr�val: <br /> RE1��L�.RKS (in house): <br />