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. � • CHECK OFF LIST FOR ISSUANCE OF PERNIITS <br /> FOR OFFICE USE ONLY • <br /> ADDRESS OR LEGAL: Z g 1 t C�s� �orrv-� �.o�,� <br /> PID: <br /> DESCRIPTION OF WORK: L.►,��v spo�,,�s r� Po�'�-�.� <br /> ZO�iG REV�`V BY: DAT'E APPROVED: //-i 5-15 <br /> BUILDL�IG REVIE`V BY: DATE APPROVED: i�- /S-5'�i <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�I�IIT Yes �/ No <br /> pLAN RE�:�W Yes C� No ✓ SEWER CO�INECTION <br /> STATE SURCHARGE Yes � No WATERCONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONJ..��1G CH�CK LIST zoning Districc: �o C(-i�4�v�,;C <br /> Fire Depar[ment: 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 Si : <br /> Rear (Street): Left Sid : <br /> Adjacent Structures: Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: � <br /> Grad:ng: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zonin�File: # Resolution: # Resolu[ion Date: <br /> Shoreland District: <br /> Av;. Setback: Bluff S back: L.ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />