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` CHECK OFF LIST FOR ISSUA.�'�tCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> A.DDRESS OR LEGAL: 2 61� C A s c,o �o i ni� IZe�+�� <br /> PID: <br /> DESCRIPTION OF WORK: 17�.�o�Jt_L <br /> ZO�tI�i IG REV��V BY: �tJ /�9 DATE APPROVED: <br /> BUII.,D .I�i IG REV�ti� BY: DATE APPROVED; 8 �Z3-a Y <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER1ti1IT Yes ✓ No <br /> PLAl�t REVIEW Yes ✓ No SEWER CONNECI'ION <br /> STATE SURCHARGE Yes _�/ No WATERC0�INECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO�It�1G CHE.CK LIST Zoning District: �v CHA�/G� <br /> Fire Departmenr. Post Office: School District: <br /> Lot Area; Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Right Side: <br /> Reaz (Street): Left Side: <br /> Adjacen[Structures: �V and: <br /> Building Hei�ht: Def. H;t. Pealc Hgt. <br /> Lo[ Coveraoe: <br /> Gradine: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: �` Resolution: � Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: B1uff Setba k: L.otCovera;e: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes o Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />