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, � <br /> � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1'-19 � 5�}-c,cu:l,�N c_. ,�ti <br /> PID: <br /> DESCRIPTION OF WORK: 11k�c�G t�ccess STA 1� <br /> ZONING REVIEW BY: �,,` DATE APPROVED: '1- � -oZ <br /> BUII.DING REVIEW BY: DATE APPRUVED; -1 _ i-o 2 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓- No <br /> PLAN REVIEW Yes �- No SEWER CONNECTTON <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ,� PARK FEE <br /> SAC Yes No_� SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK 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; ni � <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: . <br /> (7.1G <br /> Reaz(Street): Left Side: <br /> Adjacent Structures: ,5'n' i- Wetland: '— <br /> Building Height: Def. Hgt. --- Peak Hgt. -- <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # '"- Resolution: # Resolution Date: <br /> Shoreland District: �,-C 5 <br /> Avg. Setback: P//� Bluff Setback: ^/ 1� Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 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 /> 7 <br />