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CHECK OFF LIST FOR ISSUAl�10E OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: �/30 5 C i-� ���Lz�A ��I� <br /> PID: <br /> DESCRIPTION OF WORK: S ft�� <br /> ZO�iIP1G RE'VIE`V BY: DATE APPROVED: 9-g ��S <br /> BUILD�G REVIE`V BY: DAT'E APPROVED: �i -8 -o�' <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> PLAN REVIEW Yes ,/ No SEWER CO�tNECTION <br /> 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 /> ---------------------------------------------------------------------------------------------------------------------- <br /> ZO�TI�tG CH�CK LIST Zoning District: � <br /> Fire Deparcment: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes_ L� No Date of Survey: �i- �5 -�+3 <br /> Proposed Setbacks: <br /> Front (Lake): Z b v� Right Side: �v$ � <br /> Rear (Street): Z�o' Left Side: 3� <br /> Adjacent Structures: (p0' f Wetland: N/A <br /> BuildinJ Height: Def. Hgt. d .\� Pea�:Hgt• — <br /> Lo[ Coveraje: 0 •I�- <br /> Grading: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: �' By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: /uJ <br /> Av�. Setback: Bluff Setback: L,ot Coverage: _ <br /> ExistinQ Proposed <br /> 0 <br /> Hardcover: 0-7�' <br /> 7�-250' <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> REI�IA.RKS (in house): <br />