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� CHECK OFF LIST FOR ISSUAi�tCE OF PERMITS <br /> � FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 32 y5 CA�'�vy�iv /l�„�p <br /> PiD: <br /> DESCRIPTION OF WORK: /�x-n�wbe�. <br /> ZOv'Pi TG RE'VIE�V BY: DATE APPROVED: l�-iv' �S <br /> BUILDI`'G REVIE`V BY: DATE APPROVED: �r-iy-o S <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes No SE`VER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No ✓ PARK FEE <br /> SAC Yes No ,/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZONI�tG CH�CK LIST Zoning Districc: � G/ <br /> Fire Departmen[: _ post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Fron[ (Lake): Right Side: <br /> Rear (Street): Left Side: _ <br /> Adjacent Structures: Wetl . <br /> Building Height: Def. Hgt. �Pe Hgt. <br /> Lot Covera;e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: S[aff Approval Date: By: <br /> Zoning File: # Resolution: # Resolution �ate: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback. Lot Coverage: __ <br /> EeistinJ Proposed <br /> Hardcover: 0-75 <br /> 7�-250' �l <br /> 2�0-500' � <br /> �0a-1000' ' <br /> Hardcover Variance Required: �'es P�'o Dace of Councii �pproval: <br /> ��iY�2�S (�n h�ouse): <br /> 7 <br />