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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> , ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: -i Z S 51`�T�ci �4�lL=. N <br /> PID: <br /> DESCRIPTION OF WORK: p�)�n (.��,�,y� �C�D� <br /> ZONING REVIEW BY: DATE APPROVED: /f-�-S � <br /> BUII.DING REVIEW BY: DATE APPROVED: ( �-`•-97 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �/' No <br /> PLAN REVIEW Yes ✓' No SEWER CONNECTION <br /> STATE SUR:HARGE Yes ✓ No WATERCONNECTION <br /> INVESTIGATION FEE Yes No. PARK FEE <br /> SAC Y;;s No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECB LIST Zoning District: /LQ•�� I <br /> Fire Department: N s Post Office: � School District: (�(L0�0 <br /> Lot Area: Sq.ft. o Acres — Width — Depth — <br /> Survey Submitted: Yes X No Date of Survey: 8-4- $�f <br /> Proposed Setbacks: <br /> Front (Lake):_ _ SO� Right Side: — <br /> Reu(Street): — Left Side: — <br /> Adjacent Structures: /l�(/�- Wetland: -- <br /> Building Height: Def. Hgt. C9.,�L 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 Dis�ict: ,. <br /> �. Avg. Setback: Bluff Setback: Lot CoveraSe: <br /> �l)• � Eaisting Proposed <br /> Hudcover: 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 /> � 26 <br />