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� ♦. <br /> � <br /> f CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � � . FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: 211 � 5 H-F��y W 00►� (2�p A,�U <br /> PID: <br /> DESCRIPTION OF WORK: �3L�c ,?�>,Pt,4cxn�,=rv r <br /> ZO�TING REVIEW BY: DATE APPROVED: 7-'Z Y- o� <br /> BUIIrDING REVIEW BY: DATE APPROVED: 7-z y�01 <br /> _----------- --- -------------------------------------__----__----___---- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes % No <br /> pLAN REVIEW Yes �G No SEWER CONNECTION <br /> STATE SLTRCHARGE Yes c� No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Z4r�1G CHECK LIST zoning Districc: �u o c H�p <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.fr. Acres W dth Depth <br /> Survey Submitted: Yes�_ No Date of Survey: 0nf E=�� '7-Z,-� t <br /> Proposed Setbacks: <br /> Front(Lake): ��/� Right Side: '70� t <br /> Rear(Street): Zo�: Left Side: S� � 't <br /> Adjacent Structures: /�l//}- Wetland: /�R <br /> Building Hei;ht: Def. Hgt. � Peal:Hgt. —' <br /> Lot Coverage: 0.�� <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: . . <br /> �p,� Shoreland District: <br /> ���� Avg. Setback: Bluff Setback: L.ot�overage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE1I�IARKS (in house): <br /> 7 <br /> , <br />