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� _ � <br /> , � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY . <br /> ADDRESS OR LEGAL: Z�1,O sH�z.►n� �(2 <br /> PID: <br /> DESCRIPTION OF WORK: (�o c�l � <br /> ---_ -- ------------_------_--------------------------------------__-- <br /> ZO�TING REVIEW BY: DATE APPROVED: y-/y-o 3 <br /> BUII.DING REV�W BY: DATE APPROVED: y—r�{-c� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓� No <br /> pLAN REVIEW Yes � Aio SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WA1'ERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <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: <br /> Proposed Setbacks: <br /> Front(Lake): I 9`i � f Right Side: I I Z-� � <br /> Reaz(Street): y2.'Z-� � Left Side: 300` '}' <br /> Adjacent Structures: /,�' Wetland: _ /�{c�� � <br /> Building Height: Def. Hgt. — Peal:Hgt. — <br /> Lot Coverage: N�/� <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — BY: <br /> Zoning File: # --- Resolution: # Resolution Date: � . . <br /> Shoreland Disuict: N d <br /> Av�. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> i 7 <br />