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r • . <br /> CHECK OFF i.,IST FOR iSSUANCE OF �ERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS ORLEGAL: Zo�b�o SP��c 5 <br /> PID: <br /> DES CRIPTIO�i OF WORK: CN T2�/Y GG /'YI.o N v n��-r�%� t �►�4�tf' <br /> ------ --- - _--- --_ ------ . <br /> ZOV�tG RE'�IE�V BY: DATE APPROVED� � - B-0� <br /> BUII�DING RE'V��V BY: DATE APPROVED; � •�-o,� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIE`V �� Yes c/' No SE�VER C�NNECTION <br /> STATE SURCHARGE Yes _s� No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No ���: PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOt�i��TG CH�CK LIST Zoning Districr. -. <br /> Fire Department: Post Office: School District: � � <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes�_ No Date of Survey: o N r"�tfc <br /> Proposed Setbacks: � . . , . . <br /> Front(Lake): �2- Right Side: � V.1�- <br /> Rear(Street): �•k- Left Side: C9 •\� . <br /> Adjacent Structures: C�.\� Wetland: /�f (� <br /> Building Heioht: Def. Hgt. 6 � Peak Hgt. (�� <br /> Lot Coveraae: n( I r/� <br /> Grading: Staff Approval Date: — By: Council Approval Date: ' <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: {f — Resolution: f/ Resolutioa Date: <br /> Shoreland Districc: .,,P 5 <br /> Av�. Setback�^ ,v�A Bluff Setback: ^///a- I.otCovera�e: ,N �- <br /> Existin� Proposed <br /> 0 <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' 0. K- <br /> Hardcover Variance Required: Yes No v� Da[e of Council Approval: <br /> RE1�L4RKS (in house): <br />