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CHECK OFF LIST FOR ISSUANCE OF PERINUTS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z 4,y TH O 2 0 6tZR � <br /> PID: <br /> DESCRIP'T'ION OF WORK: AfTAArv'G2 nlvo v v <br /> ZONING REVIEW BY: _ DATE APPROVED: <br /> BUII,DTi tG REVIEW BY: �f f/a . DATE APPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: _ N <br /> PERMIT _Yes / No <br /> PLAN REVIEW Yes No Li SEWER CONNECTION <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 /> ZONING CHECK LIST zoning District: _/moo L 9-e_ _ ------ <br /> Fire Department: AJ C_ Post Office: School District: <br /> Lot Area: Sq.R. IVYL Acres Width Depth <br /> Survey Submitted: Yes_ c No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): �jc�.t f- Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hat. 5 Peak Hn S <br /> Lot Coverage: <br /> IA- <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution:# Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: BluffSetback: Lot Coverage: <br /> Exis b g Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS Cin house): <br /> :. <br />