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, _-� � . <br /> � CHECK OFF LIS�' FOR ISSUANCE OF PERMITS <br /> FOR �FFICE USE ONLY <br /> ADDRESS OR LEGAL: z Soo ��-��A 0�.,wvc,✓� (�.o+�D <br /> PID: I <br /> DESCRIPTION OF WORK: t2��o e� �Q -►9�rv� e�c��t►t s,��4 c�. 5 <br /> ZONING REVIEW BY: DATE APPROVED: r Z-2 g�-5 g <br /> BUILDING REVIEW BY: DATE APPROVED: �2•�8-g� <br /> FEES TO BE CHARGED: I Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes ✓ � No SEWER CONNEC'ITON <br /> STATE SURCHARGE Yes r/ No WATER CONNEC'TION <br /> INVESTIGATION FEE Yes � No PARK FEE <br /> SAC Yes � No SITEINSPECTION <br /> Number of SAC Units !, OTHER (specify) <br /> ZONING CHECK LIST zoning Disuict /U o C F�*�,P <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres I Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right S� e: <br /> Rear(Street): Left Sid� <br /> Adjacent Structures: edand: <br /> Building Height: Def. Hgt. 'I eak Hgt. <br /> Lot Coverage: <br /> aff A roval Date: B : Council A roval Date: <br /> Gradmg: St pp y pp <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Set ck: L.ot Coverage: <br /> Existing Proposed <br /> Hazdcover: 0-75' � <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): <br /> � <br /> �� <br /> � <br />