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� , . <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: I�lu si-1 qhyw r�c�✓� ct-o,4✓� <br /> PID: <br /> DESCRIPTION OF WORK: ���Kt�.r ��,L,�,�„t,c,�oe� <br /> ZOVIi�tG REVIE�V BY: DATE APPROVED: s-/�• o S <br /> BUII.DING REVIEW BY: DATE APPROVED: s-�g -oS <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW � Yes �/ No SEWER CONNECITON <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�TIVG CH�CK LIST Zoning District: �Uo Cr�-�.�,A <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 Sid <br /> Rear(Street): Left Si e: <br /> Ad;acent Structures: Wetland: <br /> Building Heioht: Def. Hgt. Peal: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: <br /> Avg. Setback: Bluff Set ack: L,ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' � <br /> Hazdcover Vaziance Required: Yes Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />