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CHECK OFF i.IS3' FOR iSSUANCE OF PERMITS <br /> FOR OFFTCE USE ONLY <br /> ADDRESS OR LEGAL: z,z.ss ,4�3�iv 6 4 on� t,u��i • ,. <br /> PID: <br /> DESCRIPTIOY OF WORK: �ac",v�,�•.�, F,N«�a <br /> ZO�.�TPTi G REVIEW BY: DATE APPROVED: �•2�-o� <br /> BIJII�DING REVIEW BY: DA1'E APPROVED: ( -z��o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �/ No <br /> PLAN REVIEW � Yes � No SEWER CONNECITON <br /> STATE SURCHARGE Yes _� No WATERCONNECTION <br /> INVESTIGATION FEE Yes No c� PARK FEE <br /> SAC Yes No _�/ SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CHE.CK LIST Zoning District: /v�o G�-��N'c,-e . <br /> .J <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: Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: � <br /> Septic: Staff Approval Date: /-2 7--v c. By:� S Qlz• s y s n-� f-6 u 2 c.��s ru�s �-S <br /> � R��ne,.,,a�. P.r��a�e� <br /> Zoning File: # Resolutioa: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> ?5-250' <br /> 250-500' <br /> 500-1000' <br /> Hazdcover Variance Required: Yes No Date of Council Approval: <br /> R.EMARKS (in house): <br /> 7 <br />