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CHECK OFF LIST FOR ISSUAl�TCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: g Y�i (3�u•� (l�u� /�►. <br /> PID: <br /> DESCRIPTION OF WORK: --� c�dw �e-c.�... <br /> ZO�tni TG REV�`V BY: DATE APPROVED: 9•2�- o� <br /> BUII�D�G REVIE`v BY: — DATE APPROVED: g ,z� . 0 3' <br /> FEES TO BE CHA.RGED: Misc. Fees Calculated By: <br /> PERMIT Yes ✓ No <br /> PLAN REVIEW Yes r/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------------------------------------------------------------------------------------------------------- <br /> Z0�1IVG CH�CK LIST Zoning District: <br /> Fire Departmen[: Post O�ce: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes�c_ No Date of Survey: p�r F�t�l:— . '7'Z'' °`( <br /> Proposed Setbacks: <br /> F'�t (Lake): 300� � Right Side: g� � � N <br /> B�eer (Street): �'��� � Left Side: ��/Z� j S <br /> Adjacen[ Structures: A7"%79G/*e� Wetland: l�' 'r' �y+ � <br /> Buildin� Hei�ht: Def. Hgt. �f.0 ��� Peal+Ho�• �•l� <br /> Lot Covera�e: N (/a <br /> Grading: Staff Approval Date: �"' By: Council Approval Date: <br /> Septic: Staff Approval Date: -- By: <br /> Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: , <br /> Av�. Setback: '� Bluff Setback: �1/; /'1 L,ot Coverage: i✓��' <br /> Existin� Proposed <br /> Hardcover: 0-7�' v <br /> 7�-250' �;� <br /> 2�0-500' <br /> �00-1040' <br /> Hardcover Variance Required: Yes Iv'o �_ Date of Council Approval: <br /> RE�iARIiS (in house): <br />