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. CHECK OFF LIST FOR ISSUANCE OF PER1tiiITS <br /> , FOR OFFICE USE ONLY <br /> � ADDRESS OR LEGAL: y'1 b� �3�a w s��a�. � <br /> PID: � <br /> DESCRIP'I'ION OF WORK: oo, f <br /> -------_ _____ _— ------------------------------------------------------------- � <br /> Z0��1G REVIEW BY: DATE APPROVED: -� •�s-9 q E <br /> BUILDPIG REVIEW BY: DATE APPROVED: � -�s-S�, , <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: k <br /> PERMIT Yes ✓ No � <br /> PLAN REVIEW . Yes � No SEWER CONNECITON <br /> STATE SURCHARGE Yes '� No WATERCONNECIION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOIVING CH�CK LIST Zoning District: /tio C_�rnr-�',e � <br /> � <br /> Fire Deparcment: Post Office: School District: i <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes I'� No Date of Survey: o�v 1=t�= <br /> Proposed Setbacks: <br /> Front (Lake): 1 nv � �' Right Side: d0 � ''^ _ <br /> + <br /> Rear (Street): 1�v � } Left Side: 1 nO ;" <br /> Adjacent Structures: 3 a Wetland: N//�' <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Coverage: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> �,� Zoning File: # Resolution: # Resolution Date: <br /> Shoreland District: <br /> Avg. Setback: Bluff Setback: L.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Vuiance Required: Yes No Date of Council Approval: <br /> REMARKS (in house)• <br /> 7 <br />