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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: Z`f y p C�4c�vV�a-�r �'( <br /> PID: <br /> DESCRIPTION OF WORK• �.!b�J w ��, n Q�s -r ,��vs��- � oRLI. ►=�.��so9 B�c�I�ec�n <br /> __----- �n� ,Q.�.�ir•Q,.s�J`� <br /> ZONINGREVIEY�'BY.Y ���_ ~� � DATEAPPROVED: Z-i -� og <br /> B UILDING REVIEW B�'.• ►�v 1 r+ DATEAPPROVED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated B}�: � ��_______��__ <br /> PERMIT �'es � No <br /> PL.AN REVIEN' Yes ✓' No SEN'ER CO.NNECTION <br /> STATE SURCHARGE Yes_� No N'ATER CONNECTION <br /> INI'ESTIG_ATIO]V FEE Yes No ,/ PARK FEE <br /> SAC �es No �/ SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZONING CHECK LIST Zoning District: �'U'v G[¢-X}n/6 e � Y � � � � �� '� <br /> Fire Department: Post Offce: School District: <br /> Lot Area: Sq.ft. Acres YG'tdth Depth <br /> Swvey Szebmitted: Yes N'o Date of Suivey: <br /> Proposed Setbacks: <br /> Front(Lake): Right Side: <br /> Rear(Street): Left Side: <br /> .9djacenl Structiu�es: N' land: � <br /> Building Height: Def Hgt. Pea�Hgt. <br /> Lot Coverage: <br /> Grading Scaff Approval Date: By: Counci!Approva!Date: <br /> Septic: StaffApproval Date: By: <br /> Zaiing File: # Resolutia�: # R solutior7 Date: <br /> Shoreland District: A Y�'D Pe�mit: <br /> Avg. Setback: B1a�Setback: LotCoverage: <br /> Faisting Proposed <br /> Hardcover: 0-'.i' <br /> ?5-'�0' <br /> '.i 0-.i DO' <br /> .i 00-1000' <br /> Hardconer �'ariance Reqzrired: 3'es No Date of Cour�cil.9pproval: <br /> REIYL4RIiS(i►i house): <br /> 33 <br />