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, ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z.5�2 S'�N✓,5��N� �� � <br /> PID: <br /> DESCRIPTION OF WORK: /U�t�1 (�s <br /> ZO�IG REV�W BY: DATE APPROYED: g -�'-t • cn( <br /> BUII.,D .I�i tG REVIE`V BY: DATE APPROVED; g -�t- o-c:( <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER11dIT Yes ,� No <br /> PLAI�t REVIEW Yes c/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes _�No WATERCONNECTION <br /> TNVESTIGATION FEE � Yes No _s� PARK FEE <br /> SAC Yes � No STTEINSPECTION <br /> Number of SAC�Units � OTHER (specify) <br /> ZONING CHE.CK LIST Zoning District: . <br /> Fire Department: Post O�ce: School District: • <br /> Lot Area: Sq.ft. Acres � Wid[h Depth <br /> Survey Submitted: Yes_ G No Date of Survey: £3-`'(� �� <br /> Progosed Setbacks: <br /> Front(Lake): � Right Side: � <br /> � <br /> Reaz(Street): U Left Side: <br /> Adjacent Structures: � Wetland: �3p' � <br /> Building Hei;ht: Def. Hgt. ���L Peak Hot. <br /> Lot Coveraoe: � (/a- <br /> Grading: Staff Approval Date: ''- By: Council Approval Date: <br /> Septic: Staff Approval Date: � By: <br /> Zoning File: # � Resolution: # Resolutioa Date: � <br /> Shoreland District: /v`� � <br /> Avg. Setback: Bluff Setback: LotCoverage: <br /> Ex.isCmg Proposed <br /> Hardcover: 0-?5' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variaace Required: Yes No Dace of Couacil Approval: <br /> REI�ZARKS (in house): <br /> 7 <br />