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� <br /> , ' <br /> CHECK OFF LLST FOR ISSUAriCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAI.: �Zc� C/�5� Pb,,v r— <br /> PID: <br /> DESCRIP'TION OF WORK: d�4s�W���- N� <br /> ZONING REVIEW BY: N � DATE APPROVID: <br /> BLTII.DING REVIEW BY: DATE APPROVED: 3 -$�-y� <br /> - --------------------- <br /> FEES TO BE CHARGED: Misc. Fees Calculat�d By: <br /> PERMIT Yes � No <br /> PL� ��w Yes J No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No wAT� CON��ON <br /> INVESTIGATION FEE Yes No � PARK FEE <br /> SAC Yes No � STTE INSPECTION <br /> Number of SAC Units OTHER (specify) _ <br /> ------------------- <br /> ZO�Ti�1G CI3ECK LIST Zoning District: ; Shoreland istrict : <br /> Fire Department: <br /> Post Office: School District: <br /> Lot Area: Sq.ft. _Acres Width Depth <br /> Survey Submitt : Yes No Date of Survey: <br /> Proposed Setbac : <br /> Front (Lake): Right Side: <br /> Rear (Street): _� �fr Side: <br /> i <br /> Adjacen[ Structures: / Wetland: <br /> Building Height: Def. Hgt. Peak Hgt. <br /> Avg. Setback: Bluff Setback: Lot Coverage: <br /> Existing �� P�osed <br /> Hardcover: 0-75' � � <br /> 75-250' / <br /> 250-500' ________ <br /> 500-1 / <br /> / Date of Council Approval: __ <br /> Hardcover Variance Req ired: Yes No �_ <br /> Grading: Staff Approv, Date: By: Council Approval Date: <br /> Septic: Staff App <br /> roval Date: BY' <br /> �Zoni.n� File: # Resolution: # Resolution Date: <br /> P:���l[ARI�.S (in house): <br />