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` � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � <br /> � FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: -�y 5 5 P2��rb 1.���,� R.o� <br /> PID: <br /> DESCR7PTION OF WORK: �q„Ap�T o,� � /t�Yu..a12.Q�/ <br /> --__ ---- ------------------------------------------�-=------------- <br /> ZO.�i iG REVIEW BY: �;�� DATE APPROVED• ,5 �Z--o� <br /> BUII�DING REVIEW B . DATE APPROVED; S - �z-o S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW � Yes �/' No SEWER CO�TNECTTON <br /> STATE SURCHARGE Yes �/ No WATER CONNECTION <br /> INVESTIGATION FEE Yes No �/ PARK FEE <br /> SAC Yes No ,/ SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�TIVG CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depch <br /> Survey Submitted: Yes cc No Date of Survey: ow �s-L-e <br /> Proposed Setbacks: <br /> � <br /> Front(Lake): /c�o� i` Right Side: �W s <br /> Reaz(Street): /�' � i' Left Side: r no ' t <br /> Ad;acent Structures: N//1 Wetland: N�A <br /> Building Height: Def. Hgt. 0•IL. Peal:Hgt. -� <br /> Lot Coverage: /V �/� <br /> Grading: Staff Approval Date: ^—` By: Council Approval Date: <br /> Septic: Staff Approval Date: �0��) By: <br /> � <br /> Zoning File: # -" Resolution: !# Resolution Date: <br /> Shoreland District: <br /> Avg. Setbac : _ Bluff Setback: �✓ /� LotCoverage: /� � <br /> Eziscing Proposed <br /> Hardcover: 0-75' <br /> 75-250' �' K <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />