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CHECB OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRFSS OR LEGAL: Z7�� s 1-�,✓�M w o o� . <br /> PID: <br /> DFSCRIPTION OF WORK: ADD r non�' <br /> ZOVPi TG REVIE��BY: DATE APPROVED: 9 -� 11�3 <br /> BUII..D iNG REVIE`�BY: DATE APPROVID; �-�i�.�3 . <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERlYIIT Yes ✓ No <br /> PLAiv REVIEW Yes v� No SEWER COrfNECTTON <br /> STATE SURCHARGE Yes—� No WATERCONNECTiON <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No SITEINSPEC"TION <br /> Number of SAC-Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning Districr. . <br /> . Fire Department: � Post OfFice: School District: • �_" <br /> Lot Area: Sq.ft. Acres � Width Depth <br /> Survey Submitted: Yes c No Date of Survey: oN ►=�� �-30-3 Y <br /> Proposed Setbacks: � � <br /> F•reat(Lake): �os' � Right Side: 30' �. . <br /> F�eetr(Street): �3�` } Left Side: N f� <br /> Adjacent Structures: iv�✓�- Netland: ��� . <br /> Building Height: Def. Hgt. n,(< Pea1:Hgt. <br /> Lot Coverage: e�.(C <br /> Gradina: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: ' By: <br /> Zoning File: # ^ Resolution: # Resolution Date: � <br /> Shoreland District: �S <br /> Avg. Setback. 0.i< Bluff Setback: N��- Loc Coverage: --- <br /> � Existm; Proposed <br /> Hazdcover: 0-75' <br /> 75-250' •� � + <br /> . ?SO-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Nop� Date of Council Approval: <br /> REI�ZARKS (in house): �� <br /> : <br /> � . . . <br />