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� ' CHECK OFF LIST FOR ISSUANCE OF PERi1�ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �f eu su s��� (�-M� <br /> PID: <br /> DESCRIPTION OF WORK: �a <br /> ZO�'G REVIEW BY: DATE APPROVED: G-i 3•� <br /> BUII�DING REV�`i�BY: DATE APPROVED; � -�1—�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ✓ No <br /> PLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes _� No WATER CONNECTTON <br /> IIVVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No � SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONL1iG CH�CK LIST Zoning District: <br /> � Fire Department: Post OfFice: School District: � <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes,�C_ No Date of Survey: i L-f Y-S`1 <br /> Proposed Setbacks: � <br /> Front(Lake): �501 Right Side: s�` <br /> < < <br /> Rear(Street): 1�v Left Si�e: �0 <br /> Adjacent Structures: �p � t Wetland: N//} . <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> �� <br /> � Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Eus��g Proposed <br /> Hazdcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS(in house): <br /> 7 <br />