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CHECK OFF LIST FOR ISSUAlvCE OF PERiti1ITS <br /> FOR OFFICE USE ONLY <br /> ADDRE�SS OR LEGAL: Z�3`� I C ASC.� �Po��vT 1?�� <br /> PIv: <br /> DESCRIPTION OF WORK: �q,p�i�7 p <br /> ZQr11i TG REVIEW BY: DATE APPROVED: 9-s - d( <br /> BUII..DING REV�`V BY: DATE APPROVED: r-, - 5 - o� <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�v1IT Yes � No <br /> PLAi�1 REVIEW Yes �/' No SEWER 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 /> e ONING CI�CK LIST Zoaing Districr. <br /> ,,�ord` <br /> /"�/' Fire Department: Post Office: School District: <br /> � <br /> Lot Area: Sq.fr. Acres Width Depch <br /> Survey Submitted: Yes_ C� No Date of Survey: g-Z7-U i <br /> Proposed Setbacks: <br /> Freat (Lake): �34' �`_' Right Side: 36� } <br /> R�ar (Street): �l Z.� + Left Side: ��'4fl , � <br /> Adjacen[Structures: �-t-71P�� µ-L,:� �Vedand: /'d�A- <br /> Building Height: Def. Hgt. O .�� Peal:Hgt. <br /> Lot Coverage: 0,�L <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: —' By: <br /> Zoning File: # ^ Resolution: # Resolutioa Date: <br /> Shoreland District: y,PS <br /> Avg. Setback? d .K- Bluff Setback: /� �� L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' 2 N•Z <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No L Date of Council Approval: <br /> RENIARKS (in house): <br /> 7 <br />