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Y <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: `i� S�� T""�-� Wv-e <br /> PID: <br /> DESCRIPTION OF WORK: CL=.^^�v�2` \c .c�.«-•e� - r�s r� �3 r�-t� /-�-iva rvGw w�.�a�S <br /> ZOi�TING REVIEW BY: DATE APPROVED: /2- �-vfl <br /> BUII�DING REV�W BY: DATE APPROVED: �2 - � —o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/' No <br /> pI,AN REVIEW Yes No � SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZOr�1G CHECK LIST Zoning District: N o c i-�rv�� <br /> Fire Department: Post Office: School District: <br /> I.ot Area: Sq.ft. Acres Wid[h DeP� <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front(Lake): Right Side: <br /> Reaz(Sueet): Left Side: <br /> Adjacent Structures: Wetl d: <br /> Building Height: Def. Hgt. Peal: gt. <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: <br /> Av;. Setback: Bluff Secback: Lot Coverage: <br /> Existing 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 /> RE�S �in house): N D Pl�-/�/s /2c—z2 vv2� .�°a _ <br /> 7 <br />