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, . . <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �2,o s�4nr�s��, c��-� <br /> PID: <br /> DESCRIPTION OF WORK: a1�w /j;t 5' <br /> ----- ------ ------------------------------�-----------:o <br /> Z0�1TIG RE'VIEW BY: � DATE APPROVED• 6 Z 8' Y <br /> BUII.DTi�iG REVIE`V BY: DATE A.PPROVED; h -z$-o�. <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓� No <br /> PLAl�i REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTTON <br /> INVESTIGATION FEE � Yes No ./' PARK FEE <br /> SAC Yes � No STTEINSPECTION <br /> Number of SAC�Units 1 OTHER (specify) <br /> ZONING CHE.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: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): Left Side: �'`' �'�"" �� <br /> Adjacent Structures: C� Wetland: N /�- <br /> Building Height: Def. Hgt. d•tL Peak Hgt. — <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: �- By: <br /> Zoning File: � --'— Resolution: !� Resolution Date: <br /> Shoreland District: /l1(� <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variaace Required: Yes No Date of Council Approval: <br /> REI�ZARKS (in house): <br /> 7 <br />