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3 • <br /> ` CHECb OFF LIST FOR ISSU�iCE OF PERI�IITS <br /> FOR OFFICE USE ONLY , , <br /> ,� ,, �>- �` i <br /> �DDRESS OR LEGAI.: / � �/.� �, , ; ,_ ..� � , <br /> , � �� "� �/ ��/'O.� <br /> PID: �'�� " � ° , <br /> DESCRIY'TION OF WORK: � i�� �l << � f �� r�f�o.� -.r �s r nr �P��� <br /> ZO�tII�tG REV1E`V BY: DATE APPROVID: 6 - �-cI� <br /> BUII..DL�TG REVIEW BY: DATE APPROVF�: �- 3 -g b <br /> ---------------------------- �No <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER'�1IT Yes <br /> PL�,v ��`� YeS � �o SEWER CONNECTION_ <br /> STATE SURCHARGE Yes No WATER COiVNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------- <br /> ZOVPtG CHECK LIST Zoning District: � Shoreland District : <br /> Fire Department: <br /> Post Office: School Districr. <br /> Lot.�rea: Sq.ft. <br /> Acres Width Depth <br /> Survey Submitted: es No Date of Survey: <br /> Proposed Setbacks: <br /> Front (L.ake : Ri�'ht Side: <br /> / <br /> Rear (Stre ): Left Side: <br /> Adjacent tructur s: Wetland: <br /> Building Heigh[: Def. Hg . Peak H�t <br /> Avg. Setback: <br /> Bluff Setback: L.ot Coverage: <br /> , P� <br /> Ex sting <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-500 <br /> 500-10 ' <br /> Hardco er Variance Req ired: es No Dat of Council Approval: <br /> Grad' �: Staff Approval Dace By: Council Approval Date: <br /> Sev r. Staff Approval te B � <br /> Zo ' g File: � Resolution: � Resolution Date: <br /> RE�'1ZARKS (in house): ' <br />