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, , . . <br /> j � ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: l�,5 1 5an�✓�s�n��: C, rt,c�-�.S . <br /> PID: <br /> DESCRIPTION OF WORK: N CZv /�S � <br /> ZOYni IG REVIEW BY: DATE APPROVED: �-S' -� <br /> BUII.,DIYi G REVIEW B : DATE APPROVED� �.-s-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes � No <br /> PLAN REVIEW Yes v No SEWER CO�fNECTION <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 /> ZO�TING CI3E.CK LIST Zoning District: . <br /> Fire Department: � Post Office: School District: • � <br /> Lot Area: Sq�.ft. Acres ' Width Depth <br /> Survey Submitted: Yes_,� No Date of Survey: 9•a 3-0 3 <br /> Proposed Setbacks: � � � <br /> Front(Lake): y Right Side: v � <br /> Rear(Street): � Left Side: O � <br /> Adjacent Structures: b �Vetland: ~ . <br /> Building Height: Def. Hgt. c� ,(� Peak Hgt. <br /> Lot Coveraoe: /�f I A <br /> Grading: Staff Approval Date: N I o`� By: Council Approval Date: <br /> Septic: Staff Approval Date: ,�1 /� By: <br /> Zoning File: # --- Resolution: !# Resolution Date: � <br /> Shoreland District: /'�0 <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> � Existin; Proposed <br /> Hazdcover: 0-?5' <br /> 75-250' � <br /> 250-500' <br /> 500-1000' <br /> Hudcover Variance Required: Yes No Date of Council Approval: <br /> RE1�ZA,RKS (in house): •� <br /> � . . . <br />