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CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> - FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �+2 Y S C N�P���A L,q�v c= <br /> PID: <br /> DESCRIPTION OF WORK: N��J /2.cj — �/uin�T 3�=L�'Z <br /> - -- �----- -------------------------------------- -------------------- <br /> ZO.vPTG REV�W BY: r����{� DATE APPROVED: 3 .2 S —�Z <br /> BUILDING REV�W BY: DATE APPR4VED: <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> �� PER1v1IT Yes No <br /> PLA1�1 REVIEW Yes No SEWER CONNEC"TION <br /> �i��� STATE SURCHARGE Yes No WATERCONNECTION <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: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <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 /> 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: Lot Coverage: <br /> Existing Proposed <br /> Hazdcover: 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)' (�WN f/L. �oHN p�t��AW\S ��1�_ C:��i-e� u�/��c r°�cf <br /> �/LO vi^ �j�C-P % T � r C�-2 � ls'°`'v C� '� <br /> (�I�C..C_ N D� I�6?U�5 i Qt°�LGt?il7" �.��IJN/.� ' O�f C 7� 7-�iFFf✓�Sr'� '� 9T <br /> '� Se�nN I�rt�M�tS �J trvt /U D l` �'S� �0. 3 •ZS� �Z <br /> 7 <br />