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�HEC� OFF i,IST FOR ISSUANCE OF PER.�I�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: / �-� �S � 1"�A�l ��� c��2 /�ra A ,—I <br /> PID: <br /> DESCRg''I�ION OF WORK: <br /> ZO.VNi G REVLE`V BY: Y---^�___�_ DATE APPROVED: <br /> BUILDING REVIE'�V BY: DAT'E A.PPROVED: <br /> FEES TO BE CHA.RGED:r Misc. Fees Calculated By: <br /> PERMIT Yes No <br /> PLAN REVIE`V � Yes No SE�VER CONNECTION <br /> 5TATE SURCHARGE Yes No �VATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONi.�IG CH�CK LIST Zoning District: . <br /> Fire Department: Post Office: School District: <br /> I,ot Area: Sq.ft. Acres Widch Depth <br /> Survey Submitted: Yes I�io Date of Survey: <br /> Proposed Setbacks: <br /> Froa[(Lake); Right Side: <br /> Rear (Street): Left Side: <br /> t;dja�en[ Structures, Wetland: <br /> Builcling Hei�t: Def, Hgt. Peal:Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Apgroval Date: By: Council Approval Date: � <br /> Septic: S�aff Approval Dace: �r1 _ �Y� `�� <br /> Zoaing File: � Resolutioa: � Resolution Date: <br /> Shoreland Dis[rict: <br /> Av�. Setback: Bluff Setback: I.o[Covera�e: <br /> Eustin� Proposed <br /> 0 <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�0-560' <br /> S0a-1000' <br /> H��dcover Va;iance Required: Yes No Da�e of Council Approvzl: <br /> REIL�KS (in hou5e): <br />