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. ' CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: /� �3�- �ofn,�.rs (Jo ,.�r ' <br /> PID: <br /> DESCRIPTION OF WORK: (i4-yv�/J 74�,.� — 2wc9- I�2�� w� <br /> ZO�'G REV�`V BY: DATE APPROVED: G �� K 'o� <br /> BUII.DL�;G REVIE`V BY: DATE APPROVED: <br /> FEES TO BE CHA.RGED: �`'"'� '�`�T' Misc. Fees Calculated By: ~ <br /> PERMIT Yes t� No <br /> PLAN REVIEW Yes No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes No WATF�ZCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZOYL�iG C�CK LIST Zoning District: N° C c�F�r�+`� _ <br /> Fire Department: Post Office: School Disuict: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Pro osed Setbacks: �� <br /> P Front(Lake): Righ[Side: 3�0 r�L:J <br /> � � <br /> Rear (Street): Left Side: �� � S <br /> Adjacent Structures: Wetland: . <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> L,ot Covera�e: <br /> Grading: Staff Approval Date: (s — 1`{—�� By: d"•U— Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: y�5 <br /> Avg. Setback: �v l�+ Bluff Setback: �(� L.ot Coverage: <br /> Ezistin� Proposed <br /> a <br /> Hardcover: 0-75' <br /> 75-250' <br /> 2so-5oo' 29.YPS <br /> 500-1000' <br /> Hardcover Variance Required: Yes No �'�— Date of Council Approval: <br /> REVIARKS (in house): <br /> 7 <br />