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CHECK OFF LIST FOR ISSUANCE OF PERII�IITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: Y SS� Lv�`y'�%� �� � <br /> PID: <br /> DESCRIPTION OF WORK: � �,.. '�ti. C3�,� � Pp►� <br /> ZO�'G REYD�W BY: DATEAPPROVED: / 2"« -4'� <br /> �. BUILDPTG REV�W BY: � DATE APPROYED; /v I� <br /> FEES TO BE CHARGED: I��� Misc. Fees Calculated By: <br /> PERNIIT Yes �No <br /> pLAN REVIEW Yes No v- SEWER COrfNFC1�ON <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ___________ _____M_________------- <br /> ZO�Z�G CS�CS LIST Zoning District: <br /> Fire Department: Post OfFice: School District: � <br /> Lot Area: Sq.ft. Acres � Width Dep[h <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 Coveraoe: ' <br /> Grading: Staff Approval Date: B : Council Approval Date: <br /> Septic: Staff Approval Date: B : <br /> Zoning File: # Resolution: # Resoludon Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac : Lot Covera�e: <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 /> � <br /> 7 <br />