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� CHECK OFF LIST FOR ISSUANCE OF PERi12iTS <br /> ` FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: '��� s��E��'a.2�:.,�:.; 7 ��, � <br /> PID: <br /> D�C�'�����'' ����: :.��U:� Gt OT�2-� t �'`�S-�f'Y�=c � (—�N.S1'f <br /> ----------------------------------------- I <br /> ZOY�IG REVIEtiV BY: �' DATE APPROVED: � � �� r ri --- <br /> BUILDliYG REVIE��BY. - �� � ' 1.�,_,_ DATE APPROVED: � � L�. `i` <br /> FEES TO BE CHARGED: � . Misc. Fees Calculated By: ~ <br /> PERNIIT Yes �,r' No ' <br /> PLAN REVIl=,W Yes � No SEWER CONNEC'ITON <br /> STATE SUR`H�F�G� Yes � No WATER CO�NECITON <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> -------------------------------------- ----- <br /> ZO�TING CHECK LIST zoning Districc: 2- �� <br /> Fire Departmenr. Lct..:�,���,.L Post Office: (�;,,r` ���L School District: �;k�..�,;; � <br /> L,ot Area: Sq.ft._�V�; �rt-�-n, �Acres Width Depch <br /> Survey Submitted: Yes_� No Date of Survey: t Z -`i -�t ( . <br /> Proposed Setbacks: <br /> Front (Lake): , i 1� Right Side: i t� <br /> Rear(Street): SZ:� Left Side: 3U <br /> Adjacent Struc[ures: �o ' �Vetland: <br /> Building Height: Def. Hgt. _ N lr�- Peak Hgt. N ���- <br /> Lot Coverage: t�, S�d�� p,� �ti.p� (��� - <br /> Gradi.ng: Staff Approval Date: � �� 'tv By; �'c% Council Approval Date: ^��/F <br /> Septic: Staff Approval Date: n,� i i� gy; . <br /> Zoning File: # --- Resolution: # ` Resolution Date: — � <br /> Shoreland Dis�ict: �,% , �- � <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> ' Ezistin; Proposed <br /> Hazdcover: 0-75' <br /> 75-250' . - � <br /> 250-SOd' • <br /> 500-1000' ' <br /> . Hazdcover Vaziance Required: Yes No Date of Council Approval: <br /> � <br /> RENLA.�2KS (in house): <br /> 3 ' _ . • <br /> • ''' - 26 <br /> . ��� . . <br />