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� CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> j FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 9 9 o SorM �r GAN�= � <br /> PID: <br /> DESCRIPTION OF WORK: ��p� <br /> ZO.�TI�1i G $EVIEW BY: DATE APPROVED: -- <br /> BUII..DI�i tG REVIEW BY: DATE APPROVED; Z-Z�s-�3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/' No <br /> PLAN REVIEW Yes �/' No SEWER CONNEC"ITON <br /> STATE SURCHARGE Yes �/ No WATERCONNEC'TION <br /> INVESTIGATION FEE � Yes No�� PARK FEE <br /> SAC Yes No� STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CI�CK LIST Zoning District: _ivo c�-fi4�1r� . <br /> Fire Department: Post Office: School District: � <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 /> Rear(Street): Left Side: <br /> Adjacent Structures: We and: <br /> Building Height: Def. Hgt. Pe •Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resoludon Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac : Lot Coverage: � <br /> E�ciscing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />