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� . ' CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y�-1 S so�r�� �/1,c��,,r,v �/�/> <br /> PID: <br /> DESCRIPTION OF WORK: F',�� <br /> ZOrTi tG REVIEW BY: DATE APPROVED: 9- r 3 -a2. <br /> BUILD�tG REV�W BY: — DATE APPROVED; <br /> --_----- -------- ----------------------------------------- -- <br /> ,,,o G.v,p.'o.c �� ,..e�� �=Ptf <br /> FEES TO BE CHARGED: ��,�o�„� Misc. Fees Catculated B�y: <br /> PER11�1IT Yes ✓ No <br /> PLAl�t REVIEW Yes No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTTON <br /> Number of SAC Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Rear (Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> (`�� Building Height: Def. Hgt. Pea�:Hgt. <br /> ��� L.o[Coveraae: <br /> ��i Grading: Staff Approval Date: By: Council Approval Date: <br /> � �t" <br /> S � Septic: Staff Approval Date: By: <br /> � Zoning File: # Resolution: # Resolution Date: <br /> � <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing 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 /> REMARKS (in house): _ <br /> 7 <br />