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� . <br /> (7HECK OFF LIST FOR ISSU CE OF PERMITS <br /> , FOR OFFICE USE NLY <br /> ADDRESS OR LEG�I.: z�y o s H�v�.�� p <br /> PID: ' <br /> ' DESCRIPTION OF ORK: dcc. - ,wc� ,,•� � <br /> ZO.VI�1i G REVIEW BY: �v��'a- � DATE APPROVED: <br /> BUII.DI�i IG REVIE i�BY: DATE APPROVED; Y-�y-o� <br /> FEES TO BE C GED: Misc. Fee Calculated By: <br /> PERMIT , Yes ,/' No <br /> PLE+u�t REVIEW Yes _� No SEWER COrINECTION <br /> STATE SURCHAR E Yes �/ No WATER CONNECTTON <br /> INVESTIGATION �EE � Yes No PARK FEE <br /> SAC Yes No STTEINSPEC'I'ION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK �.IST Zoning Districr. o <br /> Fire Department: i Post Office: School District: • <br /> Lot Area: Sq�.h._�Acres � Wid Depth <br /> Survey Submitted: j Yes No D e of Survey: <br /> Proposed Setbacks: ' ' � <br /> Front(Lake): Right Side: <br /> Reaz(Sueet): Left Side: <br /> Adjacent Struc�tures: Wetl d: . <br /> � <br /> Building Height: Def. �igt. Peal: gt. <br /> Lot Coverage: <br /> Grading: Staff Appro�}al Date: B . Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # Resolution: # solution Date: <br /> Shoreland District: <br /> Avg. Setback, Bluff Setback I.ot Coverage: <br /> Eusting Proposed <br /> Hazdcover: � 0-75' <br /> 75-250' <br /> � 250-500' <br /> � 500-1000' <br /> Hudcover V�riance Required: Yes No Date of Council Approval: <br /> RENIARKS(in hQuse): <br /> 7 <br /> � <br />