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r � <br /> CHECK OFF LIST FOR ISSUA��ICE OF PERi1�1ITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: ((��--(� � b I-{Y�S Qa i nr-� (��� <br /> PID: <br /> DESCRIPTION OF WORK: �2�v Q w r4 y I�VI�o N u rw��v r� <br /> ZO�'G REVIE`V BY: �5�� DATE APPROVED: 7- 25'-0� <br /> BUII�DTivG REVIE`V BY. ..,.._ DATE APPROVID: '� -Zs-w <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PERNIIT Yes �" No ; <br /> PLAN REVIEW Yes ✓iAio SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATERCONNECIION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC�Units OTHER (specify) <br /> ZO��+G CHE.CK LIST Zoning District: /�U C�¢�4,�'S.P <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Width Depth <br /> Survey Submitted: Yes ,� No Date of Survey: e r C.t <br /> Proposed Setbacks`. <br /> Front(Lake): $� -f- Right Side: S � '� <br /> s� � Left Side: � �`" <br /> Rear (Street): S <br /> Adjacent Structures: C�.�� Wetland: <br /> Building Height: Def. Hgt. Peal:Hgt. <br /> L.ot Covera�e: <br /> Grading: Staff Approval Date: By: Council Approval Date: <br /> Septic: Staff Approval Date: By: <br /> � Zoning File: # Resolution: # Resolution Date: <br /> ��ti <br /> p Shoreland District: <br /> ���� Avg. Setback: Bluff Setback: LotCovera?e: <br /> Eusting Proposed <br /> Hardcover: 0-75' <br /> 75-250' <br /> 250-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No Da[e of Council Approval: <br /> REi�L�i.RKS (in house): <br /> 7 <br />