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� � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t��� 5t+o�2Gt�t rv� 02 <br /> PID: <br /> DESCRIPTION OF WORK: I�P�c� s7r4�2s r�� v�rb�n�6 �C-a�n►+u, I��sR) <br /> ZO�tING REVIEW BY: DAT'E APPROVED: s'•�3•S� <br /> BUII.DI�i 1G REVIEW BY: ` DATE APPROVED; �-�3 -9� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/ No <br /> pLpN REVIEW Yes _� No SEWER CONNEC'TION <br /> STATE SURCHARGE Yes � No WAT�1tCONNEC"TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SIT'EINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: Nb c�-� <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): Right Sid • <br /> Rear(Street): Left Sid : <br /> Adjacent Structures: edand: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Sepdc: Staff Approval Date: By: <br /> Zoning File: # - Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff S back: Lot Coverage: <br /> Existin Proposed <br /> Hudcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> � 7 <br />