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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADIlRESS OR LEGAL: z91 S' S o rv��2s�r c,..�4-M� <br /> 'PID: <br /> DESCRIPTION OF WORK: o�1 <br /> ZO�TPi TG REV�W BY: DATE APPROVED: ¢� •� -v� <br /> BUII.DING REV�W BY: DATE APPROVED; �j -t ��1 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes _� No <br /> PLAi�T REVIEW Yes � No SEWER CONNECTTON <br /> STATE SURCHARGE Yes � No WATER CONNEC'ITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TING CH�CK LIST Zoning District: <br /> �o �i <br /> ,p� Fire Department: Post Office: School District: <br /> ��. <br /> G Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes_� No Date of Survey: D/v �_�l.E <br /> Proposed Setbacks: <br /> Front(Lake): I SO' 'F' Right Side: !�'�' " <br /> Rear(Sueet): 3 U v� �" Left Side: o'f c.•� <br /> Adjacent Structures: Zo' Wetland: � 3> � '~ <br /> Building Height: Def. Hgt. Peak Hgt. — <br /> Lot Coverage: � <br /> Grading: Staff Approval Date: -- By: Council Approval Date: <br /> Septic: Staff Approval Date: "— By: <br /> N`� <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eusting Proposed <br /> Hazdcover: 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 /> 7 <br />