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. <br /> , CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t y y � 5 E-k> IZ-�<--�� t�J!� <br /> PID: <br /> DESCRIPTION OF WORK: �--�-� S� b N <br /> ZO�TING REVIEW BY: - --�W---W-DATE APPROVED: 5 '��' � �7 <br /> BUII..DING REVIEW B . DATE APPROVED: <br /> FEES TO BE CHARGED: s��%-' ��-"�___�_ __��_�_�__ <br /> "1 v�'�f� Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes No SEWER COrfNECTION <br /> STATE SURCHARGE Yes No WATERCONNEC"TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning Districr. �c.v G��f <br /> Fire Department: Post Office: School Districr. <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Sueet): I.eft Side: <br /> Adjacent Structures: We and: <br /> Building Height: Def. Hgt. Pe Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac : L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> R <br /> 7 <br />