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� L R ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �S S �AN D ST�N� C�2�-�-� � <br /> PID: <br /> DESCRIPTION OF WORK: ,t�c cc� ' `2CS <br /> ZO.�i IG REVIE`V BY: DATE APPROVED: 4-�-o� <br /> BUII.,D�tG REV�`Y B : DATE APPROVED: �, - s- 0 3 <br /> FEES TO BE C�-IARGED: Misc. Fees Calculated By: <br /> PER�ti1IT Yes _� No <br /> PLAN REVIEW Yes c�- No SEWFR CONNECITOiv <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No t� PARK FEE <br /> SAC Yes c� No STTEINSPECTION <br /> Number of SAC�Units �_ OTHER (specify) <br /> ZO�TIt�TG CH�CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: � <br /> I.ot Area: Sq.ft. Acres � Width Dep[h <br /> Survey Submitted: Yes � No Date of Survey: g• 3-0 3 <br /> Proposed Setbacks: � <br /> Fron[(Lake): � Right Side: � <br /> Rear(Street): O Left Side: � <br /> Adjacent Structures: U �Vetland: <br /> Building Height: Def. Hgt. O•I� Peal:Hgt. <br /> Lot Covera�e: �(� <br /> Grading: Staff Approval Date: �!I/a- By: Council Approval Date: <br /> Septic: Staff Approval Date: iv(/� By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: Nb <br /> Avg. Setback: Bluff Setback: I.otCover�e: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1Od0' <br /> Hazdcover Variance Required: Yes No Date of Council App:oval: <br /> RE1�L4RKS (in house): �-� Gs 1 �SAr� S7�NG G�2. �-a� �C,�9y�S — <br /> � . . , <br />