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CHECK OFF LIST FOR ISSU CE OF PEItNIITS <br /> FOR OFFICE USE NLY <br /> ADDRESS OR LEGAL: y 3?S i,Q L (�� <br /> PID: <br /> DESCRIPT'ION OF WORK: �c_.4c <br /> -- ----- ----------- — <br /> ZO�TG REVIEW BY: � DATE APPROVED: 6-/ - vo <br /> BUILDING REV�W BY: DATE APPROVED: G -� -c�o <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓' No <br /> PLAN REVIEW Yes ✓ No SEtiVF.�t CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> Z01��1G CHE.CK LIST Zoning District: <br /> /v° Fire Department: Post Office: School Disuict: <br /> L� Lot Area: S .ft. Acres Width Depth <br /> q <br /> Survey Submitted: Yes � No Dat of Sun�ey: / Z•/4�-�v o.J ���c <br /> Proposed Setbacks: <br /> Front(Lake): J a� Right Side: � <br /> Reaz (Street): (,�0 Left Side: L.2� <br /> Adjacent Structures: t4717'�-C,(.FC� Wetland: . <br /> Building Height: Def. Hgt. �J�/� Peal:Hgt. <br /> Lot Coverage: — <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: !# — Resolution: # '� Res lution Date: - <br /> Shoreland District: <br /> Avg. Setbac c Bluff Setback: L.ot Coverage: /✓//i <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' C S`'?.o <br /> 500-1000' � <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />