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CHECK OFF LIST FOR ISSUANCE OF PERJNHTS <br /> FOR OFFICE USE ONLY <br /> ADDRESSOR LEGAL: -_z p Z.0 c_u ATz,- z w ti a" - <br /> PID: <br /> DESCRIPTION OF WORK: G02A0%N b <br /> ZOINENG REVIEW BY: DATE APPROVED: g- 30-D 0 <br /> BUILDING REVIEW BY: — DATE APPROVED: <br /> r <br /> EES TO BE CHARGED: (onA01,1� Misc. Fees Calculated By: <br /> ERMIT Yes ✓ No <br /> LAN REVIEW Yes No SEWER CONNECTION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SrMINSPECTION <br /> Number of SAC-Units OTHER (specify) <br /> ZO,NLN, G CHECK LIST Zoning District: /N0 G 14� <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: W-.tland: <br /> Building Height: Def. H-t. P -Hat. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setbac Lot Coverage: <br /> Existing 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(in house): <br /> '7 5.0 0 5701 -+- Cv3t G. V. <br /> %00.00 6 N <br /> ZJ.00 k rJV�Pec�TZc9nf <br /> —� 7 <br />