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CHECK OFF LIST FOR ISSUr��TCE OF PERiI�IITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y y g� ,Q A y s��c:� ��� <br /> PID: <br /> DESCRIPTION OF WORK: �4 cLes so� �c.Y>� <br /> Z0�.�1T�1i G REVIEW BY: DATE APPROVED: � r� -�7-v� <br /> BUILDING REV�W BY: DATE APPROVED: �d-r� •o� <br /> FEES TO BE CHARGED: N1isc. Fees Calculated By: <br /> PERVIIT Yes t/ No <br /> pLAN REVIEW Yes � No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONi�TECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------ -------- ------- -- <br /> ZO��ING CHECK LIST Zoning District: (�(�� I� <br /> Fire Department: /Yl.P Post Office: /'� P School District: <br /> Lot Area: Sq.fr. /1� C I-t�9r�,ft Acres — Width �' Depth — <br /> Survey Submitted: Yes oC No Date of Survey: �O-26• �� <br /> Proposed Setbacks: � <br /> Front (Lake): �3�- Right Side: 3Z. -4- <br /> Rear (Street): 6Q0� f Left Side: �'{� � <br /> Adjacent Structures: �?� Wetland: /V/� <br /> Buildin; HeiQht: Def. Hgt. I Z Peak Hgt. f �1 <br /> Lot Covera�e: N /� <br /> Gradin;: Staff Approval Da[e: — By: Council Approval Date: <br /> Septic: Staff Approval Date: — By: <br /> Zoning File: # 2��'-( Resolution: # `I�Y 6 Resolution Date: �(9 •Z 3-d a <br /> Shoreland District: �� <br /> Av�. Setback: Bluff Setback: Lot�overage: <br /> Existing Proposed <br /> Hardcover: 0-7�' <br /> 7�-2�0' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REl�1ARKS (in house)• <br /> 7 <br />