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CHECK OFF LIST FOR ISSUAl�tCE OF PERI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: / `t v �3lL�.,��,. /La�ro S <br /> PID: <br /> DESCRIPTION OF WORK: ���,�,.,,,� (�. 5 C�� <br /> ZOVI�IG REVIEW BY: � DATE APPROVED: <br /> BUII.,DIPIG REVIE`V BY: DATE APPROVED: �-Zs-�Y <br /> FEES TO BE CHARGED: � / Misc. Fees Calculated By: <br /> PERI�IIT Yes (/ No <br /> PLA��t REVIEW Yes �a +-� SEWER CONNECITON <br /> STATE SURCHARGE Yes No WATERCOiVNECTION <br /> INVESTIGATION FEE Yes No PA.RK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC�Units OTHER (specify) <br /> ZONIi�1G CHE.CK LIST Zoaing District: /1!d C C�`,r�yv� <br /> Fire Department: Post OfFice: School District: <br /> Lot Area: Sq.ft. Acres Widch Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[ (Lake): Right Side: <br /> Rear (Stree[): Left Side: <br /> Adjaceat Structures: `V and: <br /> Building Height: Def. Hgt. ea�:Hgt. <br /> Loc Coverage: <br /> Gradino: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # Resolutio : f� Resolutioa Dace: <br /> Shoreland District: <br /> Avg. Setback: Bl ff Setback: L.oc Coverage: <br /> Eu ��o Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE1�Z4RKS (in house): <br /> 7 <br />