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, � � <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z O`�3 O SPA T�5 <br /> PID• <br /> DESCRIPTION OF WORK: r� ,�,�/brg-rZvJ �Ac�r��` <br /> ZO�tPi TG REVIEW BY: DATE APPROVED: _ft//�- <br /> BUII.DING REVIEW BY: DATE APPROVED•, �o .r Y-o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes_� No <br /> PLAN REVIEW Yes No � SEWER COTfNECTTON <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CS LIST zoning Districc: /Y� G�r,►�e�,e . <br /> Fire Department: Post Office: School Districr. � <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(Sueet): Left Side: <br /> Adjacent Structures: W tland: <br /> Building Height: Def. Hgt. P Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setba k: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes N Date of Council Approval: <br /> REMARKS(in house): <br />