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• 4 . <br /> ' CHECK OFF LIST FOR ISSUAI�tCE OF PERIVIITS <br /> _ FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: y36 8 C�i�P��i4 ��'N�s <br /> PID: <br /> DESCRIPTION OF WORK: {/V��,�e �,�, � o x c a s(�') <br /> ZOivING REVIEW BY: .� DATE APPROVED: lv -2� - �3 <br /> BUII.DING REVIEW BY• DATE APPROVED: � v - z 7 -o� <br /> F`EES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes r/ No <br /> pLAN REVIEW Yes No v SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATER CONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No STTEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ZOti�Il�TG CHECK LIST Zoning District: <br /> Fire Department: Post O�ce: School Disuict: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes No Date of Survey: <br /> Proposed Setbacks: � <br /> Front (Lake): Y3 0 � Ri�ht Side: �� <br /> r <br /> Rear (S[reet): /.S� � Left Side: 3 S� <br /> Adjacent Structures: 7� a ' Wetland: it/ff� <br /> Building Hei�ht: Def. Hgt. � Peal:Hgt. — <br /> Lot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Da[e: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: � Resolution: # � Resolution Date: . <br /> Shoreland District: <br /> Av�. Setback: luff Setback: I.ot Coverage: <br /> Existing Proposed <br /> Hardcover: 0-75' <br /> 75-250' � <br /> 250-500' � <br /> 500-1000' <br /> Hardcover Variance Required: Y s No Date of Council Approval: <br /> REVIARKS (in house): � <br /> 7 <br />