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.. <br /> y ' <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z`1 �3 Z 5►��.s'�N� c.��:= <br /> PID: <br /> DESCRIPTION OF WORK: /U�C,✓ 2t3 <br /> - ----- -- - --i—� ----------------------------------------�----------=-------- <br /> ZOYING RE'VIE`V BY: ��SL�,�- DAT'E APPROVED• �, 17 0`{ <br /> BUILDI�i 1G REVIEW B : �c......� DATE APPROVED; �- r�7-��( <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes � No <br /> PLAi�i REVIEW Yes No SEWF.R CONNECTION <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 /> ZOi�iI��iG CHE.CK LIST Zon.ing Districr. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Widch Depch <br /> Survey Submitted: Yes_ c No Date of Survey: y - { -o`t <br /> Progosed Setbacks: <br /> Fron[(Lake): � Right Side: Z� <br /> Rear (Stree[): 3 Left Side: G' <br /> Adjaceat Structures: D �Vetland: �3 <br /> Building Height: Def. Hgt. c�•c� Peak Hgt. -' <br /> Lot Coverage: �ira <br /> Gradino: Staff Approval Date: ` -/�• o y By: � Council Approval Date: � <br /> Septic: Staff Approval Date: �/If; By: <br /> Zoning File: # '"" Resolution: # Resolutioa Date: <br /> Shoreland District: �� <br /> Avg. Setback: Bluff Setback: L.oc Covera?e: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />