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y , <br /> CHECK OFF LIST FOR ISSUA.i�10E OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: (�(�� SA�✓JS�+� c��t . <br /> PID: <br /> DES CRIPTI ON OF W ORK: �.,� �2;t.S �(� o F -t-rt,� n c,Ex <br /> ZO.�i G REV�W BY: DATE APPROVED: /�-z3 ,�3 <br /> BUII.DII\G REVIEW BY: DATE APPROVED: // • z 3 -o S' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW � Yes �' No SEWF.R CONNEC"ITON <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓' PARK FEE <br /> SAC Yes � No STTEINSPECTION <br /> Number of SAC�Units � OTHER (specify) <br /> ZO��TG CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> I.ot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes_ c� No Date of Survey: l�p -�`t- oS <br /> Proposed Setbacks: <br /> Front(Lake): `-� Right 5ide: (� <br /> Rear(Sueet): O Left Side: � <br /> Adjacent Structures: [' �Vetland: fv I� <br /> Building Height: Def. Hgt. c� .t�- Peal:Hgt. <br /> Lot Coverage: /J (A <br /> Grading: Staff Approval Date: /v 1 A By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning FIle: # -- Resolution: # Resolution Date: <br /> Shoreland District: �J'c� <br /> Av?. Setback: Bluff Setback: L.otCoverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> REI�IARKS (in house): <br /> 7 <br />