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r <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: L12 2S F n czxsT �..iA�c.�, p�2 . <br /> PID: <br /> DESCRIPTION OF WORK: �q�-�,t E�,-� 1�nr�s N <br /> ZOrT�i tG REV�W BY: /� DATE APPROVED: <br /> BUII.DPIG REV�W BY: DATE APPROVED: 4/_i/- o Z <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes ,/ No <br /> PLAN REVIEW Yes No � SEWER CONNEC"ITON <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 /> ZONING CH�CK LIST Zoning District: N 0 G/-f i9�G-P <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Wi th Depth <br /> Survey Submitted: Yes I�10 ate of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetlan : <br /> Building Height: Def. Hgt. Peal:H t. <br /> Lot Covera�e: <br /> � <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # esolution Date: <br /> Shoreland Distric[: <br /> I <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' ''i <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 <br />