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� � <br /> �HECK OFF LiST FOR ISS�JAN E OF PERMITS <br /> FOR OFFICE USE O LY <br /> ADDRESS OR LEGAL: 5�yss yS�O� i � <br /> PID: <br /> DESCRIPTION OF WORK: =v�.-�o Z <br /> ZO.�i G REVIEW BY: DATE APPROVED: �J (A <br /> BUII�DING REV�`V BY: DATE APPROVED: 2-�-o� <br /> FEES TO BE CHARGED: Misc. F�ees alculated By: <br /> PERMIT Yes � No <br /> PLAN REVIEW Yes _�/ No SEWER CONNECTTON <br /> STATE SURCHARGE Yes _�� No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No _�/ PARK FEE <br /> SAC Yes No _� SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOVI�tG CH�CK LIST Zoning Districr. o G <br /> Fire Department: Post Office: School District: <br /> L.ot Area: Sq.ft. Acres Width Dep[h <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Froat(Lake): Right S' e: <br /> Rear (Street): Left ide: <br /> Adjacent Structures: Wetland: <br /> Buildin� Height: Def. Hgt. Peal:Hgt. <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: Council Approval Da[e: <br /> Septic: Staff Approval Date: /UP�c95 ll,�c�}cpw� B : - pus�� � 5f6� �P��-� <br /> Zoning File: # Resolution: # Res lution Date: <br /> Shoreland District: <br /> Av�. Setback: Bluff Setback I,ot Coverage: <br /> Ezisting Proposed <br /> Hardcover: 0-75' ' <br /> 75-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REviARKS (in house): nT�/( �6h� /I � /� ��7�vi L-YVT" <br /> 7 <br />