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'� ,. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY . <br /> - ADDRESS ORLEGAL: 2r135 5N-r4✓��c.udv� i?.o� <br /> PID: <br /> DESCRIPTION OF WORK: ��- ��/t,q G� <br /> ZOYING REVIEW BY: DATE APPROVED: lc�-1 -u 3 <br /> BUILDING REV�W B . DATE APPROVED: i d- � -- 0�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> pLAN REVIEW Yes c/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOti'ING CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: S• 3�-'a`r <br /> Proposed Setbacks: <br /> Front(Lake): !(9 7 � '3' Right Side: G S � � <br /> Rear(Sueet): � ' '~ Left Side: 3`i � � <br /> Adjacent Structures: 6� � Wetland: — <br /> Building Height: Def. Hgt. O•/L Peal:Hgt. 0. K <br /> Lot Coverage: �./c:_ <br /> Grading: Staff Approval Date: /�!//'� By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # — Resolution: ff Resolution Date: . . <br /> Shoreland District: <br /> Av�. Setback. �/�/} Bluff Setback: — Lot Coverage: —' <br /> Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' Zo•Z <br /> 250-500' ' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): ,� — <br /> 7 <br />