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� <br /> CHECK OFF LIST FOR ISSUA.I�ICE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: t�C c� (3�� �S�J✓� <br /> PID: <br /> DESCRIPT'ION OF WORK: ���--� <br /> ZOVP�tG RE'YIE�V BY: s� DATE APPROVED: 9- •G s' <br /> BUILDI�'G REVIE`V BY. DATE APPROVED: 9 - g=0 5 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERMIT Yes �� No <br /> PLAN REVIEW Yes �/ No SEWER CONNECTION <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 /> ZOi�1I�tG CHECK LIST Zoning Districr. <br /> Fire Departmen[: Post Office: School District: <br /> Lot Area: Sc.ft. Acres Width Depth <br /> Survey Submitted: Yes�_ No Date of Survey: S� I b-�c � <br /> Proposed Setbacks: <br /> Front (Lake): /5� � � Right Side: I c� � ►�Zr ���-� <br /> i <br /> Rear (Street): � 'f' Left Side: 7.� � t <br /> Adjacent Structures: (�, rj,C� . Wedand: N�f� <br /> Buildin� Hei�ht: Def. Hgt. c�.� Peal:Hgt• <br /> Lot Covera�e: N 1�l- <br /> Grading: Staff Approval Date: � By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> Zoning File: # — Resolution: # Resolution Date: <br /> Shoreland District: y�� � <br /> Av�, Setback � /„d- Bluff Setback: — L.ot Coverage: <br /> Existins Proposed <br /> Hardcover: 0-7�' y <br /> 7�-250' �.�L. <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Date of Council Approval: <br /> RE�IARKS (inhouse): 5��,� Neec�s � � rv�ov�� �--� � — <br /> S�n3a�-c�S <br />