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CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> � FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: `�-� S���.. ��,,,J <br /> PID: <br /> DESCRIPTION OF WORK: ��L,v-ew�a..,, L�.�► , �,-�...�� <br /> ZOVING REV�W BY: DATE APPROVED: E� -J4 -�'� <br /> BUII.,DI�i G REVIEW BY: � DATE APPROVED: ��, c� `%`�o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAN REV�W Yes No �� SE`VER CO�TNECTION <br /> STATE SUR:HARCr� Yes ��No WATER CONNECTTON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoni.ng District: _ _P''ic; �'__l-f-t�_u _ <br /> Fire Department: Post Office:. School District: <br /> Lot Area: Sq.ft. Acres `Vidth Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): _ Right ide: <br /> Rear (Street): Lefr S de: <br /> Adjacent Struc[ures: 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 /> Zonino File: # Resolution: # Resolution Date: <br /> Shoreland Dis�ict: . <br /> Avg. Setback: Bluff etback: Lot Coverage: <br /> � EzisC Proposed <br /> Hardcover: 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 /> • 26 . <br />