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. ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ' FOR OFFICE USE ONLY <br /> A.DDRESS ORLEGAL: 3333 .s tto�tx—t.��v� �p�t, ' <br /> PID: <br /> DESCRIPTION OF WORK: Co,FF�,� �L� os ic <br /> ZO�IG REV�W BY: sb . DATE APPROVED: <br /> BUII,DI�i(G REVIE`V BY: „` . DATE APPROVED; E3 -31-oy <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERII�IIT Yes � No <br /> PLAl�t REVIEW Yes �/ No SE�YER CONNECTION <br /> STATE SURCHARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE � Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZOYING CHE.CK LIST Zoning District: ,�d c,�Aivae . <br /> Fire Department: Post OfFice: School District: � <br /> Lot Area: Sq.ft. Acres � Width Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Reaz(Street): I.eft Side: <br /> Adjaceat Structures: ` etland: <br /> Building Hei;ht: Def. Hgt. P al:Hgt. <br /> Lot Coveraoe: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: f� Resoluiioa Date: � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setb ck: L.ocCovera�e: <br /> Eaisting Proposed <br /> Hardcover: 0-?5' <br /> 75-250' <br /> 250-SQO' <br /> 500-1000' <br /> Hudcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />