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. � CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: 12 S G�-��v Y c�-�r���. �2 <br /> PID: <br /> DESCRIPTION OF WORK: 1=►��s�-� sd�/�cx l��30�-� �+�.��P <br /> ZOrTvi G REV�W BY: N fl- DATE APPROVED: <br /> BUII.DI�i 1G REVIE`V BY: DATE APPROVED: �- �c,-oz <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERiV1IT Yes �� No <br /> PLA��1 REVIEW Yes No � SEWER CONNECITON <br /> STATE SURCHARGE Yes �/�No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZONING CH�CK LIST Zoning District: Nd C��r-�wv�e.� <br /> Fire Department: Post ffice: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes o Date of Survey: <br /> Proposed Setbacks: <br /> Front (Lake): Ri t Side: <br /> 1 <br /> Rear (Street): Left!Side: <br /> Adjacent Structures: `Vetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> Lot Covera?e: <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: Lot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REMARKS (in house): <br /> 7 <br />