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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> ` FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: 3`�"7� 5 N o czx.�-��'�►� ��z��� <br /> PID: <br /> DESCRIPTION OF WORK: RPwv�(� <br /> ZO�TING RE'VIEW BY: � � DATE APPROVED: �/-/Z-�8 <br /> BUILDING REVIEW BY: DATE APPROVED; y -i z.-g� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> pLpN REVIEW Yes� No SEWER COrfNECTION <br /> STATE SURCHARGE Yes _�/ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: LR-/L <br /> Fire Department: �M o vn�✓� Post O�ce: l,v A`I 7�4Tf! School District: w�7'o r�Icth <br /> Lot Area: Sq.ft. �uo cN.4n�� Acres — Width — Depth — <br /> Survey Submitted: Yes �c No Date of Survey: o N �-�U:: <br /> Proposed Setbacks: <br /> Front(Lake): Righ Side: <br /> Rear(Street): Left ide: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal: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: <br /> Avg. Setback: Bluff etback: Lot Coverage: <br /> Ezist g 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): pi uO c �s o� s I'�� S�� °'- <br /> I-�o u s� AQort��e� �AS �a r�o�s --wt`�t.o A ui r��� <br /> 7 <br />