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CHECK OFF i.IST FOR ISSUANCE OF PE�tMITS <br /> - FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: Z I o A(3 N�do� <br /> PID: <br /> DESCRiPTION OF WORK: EivrnATJc� /Lt�o.v���- .S'�" <br /> ZO�G REVIE�V BY: DATE APPROVED: 6 -27-�� <br /> BUII�DING REVIEtiV B : DATE APPROVED; c-z�-�c.� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW �� Yes� No SE�'YER CONNECTTON <br /> STATE SURCHARGE Yes _� No WATERCONNECITON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYit�TG CH�CK LIST Zoning District: , <br /> Fire Depar[ment: Post Office: School District: � � <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes � No Date of Survey: c9N �1 l.G <br /> Proposed Setbacks: , � c �,.. . . <br /> Front(Lake): S ►�In��.1 Right Side: �� <br /> Rear(Street): S� '� Left Side: 5 ' "� <br /> Adjacent Structures: /1�a , -� Wetland: /✓/✓�" <br /> Buildin; Heioht: Def. Hgt. < � Peal:Hgt. < 8 <br /> Lot Coveraae: /�/� <br /> Gradino: Staff Approval Date: /�I t C- By: Council Approval Date: � <br /> Septic: Staff Approval Date: �/( c� By: <br /> Zoning File: � -- Resolution: It Resolutioa Date: <br /> Shoreland District: -- <br /> Av�. Setback: Bluff Setback: L.ot Covera�e: <br /> Ezistin; Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da[e of Council Approval: <br /> REl��L4RKS (in house): <br />