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r <br /> ' CHECK OFF LIST FOR ISSUAIVCE OF PERl�IITS <br /> ' FOR OFFICE USE ONLY <br /> ` ADDRESS OR LEGAL: ZS� S v (��t,�,� �� <br /> PID: <br /> DESCRIPTION OF WORK: �„� ,� � ,.� �v-e� <br /> ZO�'G REVIE`V BY: DAT'E APPROVED: � -� Z-v� <br /> BUILDING REVIEW BY: DATE APPROVED: --� -�Z,-�� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�VIIT Yes c/� No <br /> pLAN REVIEW Yes �/' No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER COIVNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZO��iG CHECK LIST Zoning District: /ZIV C (�i"" O <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.fr. Acres Width Depth <br /> Survey Submitted: Yes i�o Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Ri�ht Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: W tland: <br /> Buildin� Heioht: Def. Hgt. Pe � Hgt. <br /> Lot Covera�e: <br /> Gradin;: Staff Approval Date: y: Council Approval Date: <br /> Septic: Staff Approval Date: y: <br /> Zonin; File: # Resolution: n Resolution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setb k: Lot Coverage: <br /> E�isting Proposed <br /> Hardcover: 0-75' <br /> 75-2�0' <br /> 250-SQO' <br /> 500-1000' <br /> Hardcover Variance Required: Yes Date of Council Approval: <br /> RE�IARKS (in house): <br /> 7 <br />