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� .. <br /> CHECK OFF LIST FOR ISSUANCE OF PERI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 1►O 5 M�'� �4�[G - <br /> PID: <br /> DESCRIPTION OF WORK: (�A�w�,�a,�.+�T' R��a-ec— <br /> ZONING REVIEW BY: IJ (✓� DATE APPROVED: <br /> BUIIrDING REVIEW BY: s, .,(, DATE APPROVED: �'—9►- c�c� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes ✓ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes �/ No WATER CONNEC'TION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECITON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST zoning Districc: N o G ht.4n��i�Q <br /> V <br /> Fire Department: Post Office: School Districc: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front{Lake): Right Side: <br /> Reaz(Street): Left Side: __. <br /> Adjacent Swctures: Wed d: <br /> Building Height: Def. Hgt. Peak gt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: B <br /> Zoning File: �f Resolution: /f Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: I.ot 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 /> REMARKS(in house): <br /> 27 <br />