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� Cii�CK O�'F LIST FOR ISSUANCE OF PERNiITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1 �2.5 ��-1�A�y woo✓J �2�cr�✓ <br /> PID: <br /> DESCRIPTION OF WORK: F',,�„s� , , e. <br /> ZO�tG REVIE`V BY: DATE APPROVED: Z- � -c�.6 <br /> BUII�DING REV�W BY: DATE APPROVED: 2-s3-p.h <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REVIEW � Yes �/' No SEVVF.R 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�TING CH�CK LIST Zoning District: v � <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 /> Rear(Street): I.eft Si <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: � <br /> Sepcic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff etback: L.ot Covenge: <br /> Ezist' g Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Dace of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />