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CHECK OFF LIST FOR ISSUANCE OF PERi1�ZITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: !�t S c� CI�+C-R R-y ��,q�• � <br /> PID: <br /> DESCRIPTTON OF`�'VORK: _[�rNti,,,jG w A-u.S <br /> --------------------------- <br /> ------------------------- <br /> ZO�TIiYG REVIEti�BY: DATE APPR4VED: � - !o -4�, <br /> BUIZDING REVIE�'� BY: - �N/A- DATE APPROVED: . . <br /> FEES TO BE CHA�tGED: .����� �s. Ne�CaZcula ed�y:y��J <br /> PERMIT Yes e/ j�o • <br /> PLAN REV�W Yes No SEWER CONNECTTON <br /> STATE SUR`H1�G c yes No '4�ATER CO�INECTION <br /> INVESTIGAZ'ION-FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> --------------G-------------------------- <br /> ZONING CHECK LIST zoni.ng District: /flU Cf�/�N'b � <br /> Fire Deparcment: Post Office: School District: <br /> Lot Area: Sq.ft. Acres tiVidth Depch <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): . Right Side: <br /> Rear(Street): Left Side: <br /> Adjacent Structures: Wetland: <br /> Bullding Height: Def. Hgt• Peak Hot. <br /> 0 <br /> Lot Coverage• <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: gy; • � <br /> Zoning File: # Resolution: # Resolution Date: - <br /> Shoreland Dis�ict: � <br /> Avg. Setback: Bluff Setback: I.ot Coverage: <br /> ' Existing Proposed � <br /> Hardcover: 0-75' <br /> 75-250' . . � <br /> 250-500' . . <br /> 500-1000' <br /> . Hardcover Vaziance Required: Yes No Date of Council Approval: <br /> . � <br /> REI�ZA.RKS (in house): <br /> � - .. . � <br /> . .�, _26 . <br />