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• CHECK OFF LIST FOR ISSUANCE OF PERA�IITS <br /> ' � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �z�� q-�o r�e�A 0� w � . <br /> � PID: <br /> DESCRIPTION OF WORB: P�- a � �i L�,. <br /> ZO�tING REVIE'�BY: - DATE APPROVED: P� -�� �� <br /> BUII.DING REVIEW BY:. � � . . DATE APPROVED: . . <br /> FEES TO BE CHARGED: � �,,a�.�„�� Misc. �ees Calculated By: <br /> PERMIT Yes c/' No <br /> PLAN REVIEW Yes No SEWER CO��TNECTION <br /> STATE SUR`H��iRG� Yes No WATER CONNECITON <br /> 1NVESTIGATION-FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO�TING C�CK LIST Zoning District: 2�-r� f� � <br /> Fire Department: _�� �-c: Post O�ce: (�� School District: � <br /> Lot Area: Sq.ft._ 0'��C�H�I�@ Acres Width Depth <br /> Survey Submitted: Yes No o� Date of Survey: _� �'�� <br /> Proposed Setbacks: <br /> Front(Lake): _ Right Side: � . <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Building Heioht: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> � Grading: Staff Approval Date: By: Council Approval Date: <br /> � . <br /> Septic: Staff Approval Date: }3y; . <br /> Zoning File: # Resolution:�/ Resolution Date:� • <br /> Shoreland Dis�-ict: � <br /> Avg. Setback: Bluff Setback: Lot Coverage: � . <br /> ' Existing Proposed <br /> Hazdcover: 0-75' <br /> 75-250' . . . . <br /> 250-500' � • <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> � � <br /> REIVIARKS('in house): <br /> . <br /> � _ . <br /> � "` 26 <br /> , �t� . . . <br />