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_r� � <br /> CHECK OFF LIST FOR ISSU�tiCE OF PERMI'TS <br /> FOR OFFICE USE ONLY <br /> �iDDRESS OR LEGAI.: Z9 4 c� ��w.�s�� L.r�w2 <br /> PID: <br /> DESCRIPTION OF WORK: . s�-+�� <br /> ------------ ------- <br /> ZOi�1ING REVIEW BY: DATE APPROVID: �/ -/-5 � <br /> BUII,DING REVIEW BY: DATE APPROVID: �c - � -`�5 <br /> - ---------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERIv1IT Yes ./ No <br /> pL� ��� YeS �- �o � SEWER COi�tNECTION <br /> STATE SURCHARGE Yes �' No WATER CONNECITON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTE INSPEC"ITON <br /> Number of SAC Units OTHER (specify) <br /> ------------------------ <br /> ZONI'�1G CHECK LIST Zoning District: Shoreland District : <br /> � Post O�ce: School District: <br /> N,,,� Fire Department: <br /> V`� � Width Depch <br /> Lo[Area: Sq.ft. Acres <br /> Survey Submitted: Yes OC No Date of Survey: �^� �� �-�-' <br /> Proposed Setbacks: ' + <br /> Front (Lake): ✓��� Right Side: ( �� � <br /> � <br /> Rear (Street): �5� � Left Side: t � � �`"� <br /> � <br /> ?�djacent Structures: �� �- Wetland: <br /> Building Height: Def. Hgt. � •<<-- Peak Hgt. <br /> Av;. Setback: Bluff Setback: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> � Hardcover Variance Required: Yes :�to Date of Council Approval: <br /> �v 1 B Council Approval Date: <br /> Grading: Staff Approval Date: Y� <br /> Sepcic: Staff Approval Date: By� <br /> Zoning File: # Resolution: � Resolution Date: <br /> p�;����,5 (in house): <br />