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� , . � , <br /> . . � <br /> " CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �p So Go � (o <br /> PID: <br /> DESCRIPTION OF WORK: �+Ap�n�� <br /> ZO�TING REVIEW BY: DATE APPROVED: //-Z Y-�3 <br /> BUII..DING REVIEW BY: DATE APPROVED: t�- Z�f-�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes �/ No SEWF12 CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPEG"TION <br /> Number of SAC Units OTHER (specify) <br /> ZOti'ING CHECK LIST Zoning Districr. <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes rG No Date of Survey: r�r- �3- �3 <br /> Proposed Setbacks: <br /> Front Lake ' � <br /> ( ): 1�O � Right Side: Y$ <br /> Rear(Street): � L.o' '� I,eft Side: 2 G a � � <br /> Adjacent Structures: /1�T�,�t.� Wetland: N 1� <br /> Building Height: Def. Hgt. o .K Peal:Hgt. <br /> Lot Covera�e: /'� ��- <br /> Grading: Staff Approval Date: --- By: Council Approval Date: <br /> Septic: Staff Approval Date: --- By: <br /> Zoning File: # — Resolution: # Resolution Date: . <br /> Shoreland District: /�/�(J <br /> Av;. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' - <br /> 500-1000' <br /> Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> RE�ZARKS (in house): <br /> 7 <br />