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i <br /> i . . � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FQR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /Z 5 5�'1'� i �l-� Av L <br /> PID: . <br /> DESCRIPTION OF WORK: _JZ�.,Nw p,e� . <br /> ZONING IFEVIEW BY: DATE APPROVED: a, _-Z�s -o-3 <br /> BUILDING REVIEWBY.• DATE APPROVED: -Z_Z�_o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/' No <br /> PLANREVIEW Yes ,/' No SEWER CONIVEC770N <br /> STATE SURCHARGE Yes � No WATER COIVNECT70N <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: N o G�,.r�� � <br /> Fire Depanment: Post O�ce: School District: <br /> Lot Area: Sq.ft. Acres �dth Depth <br /> Survey Submined: Yes No Date of Survey: <br /> Proposed Setbacks: \ <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wet <br /> Building Height: Def. Hgt. Peak t. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By; <br /> Zoning File: � Resolution: # esolution Date: <br /> Shoreland District: <br /> Avg.Setback: Bluff Setback: Lot Coverage: <br /> Exisdng Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> asasoo� <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE:tIARKS(in house): <br /> 32 <br />