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a.. <br /> CHECK OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRESS OR LEGAL: I�S v c,oivLo2o i� s i. <br /> PID: <br /> DESCRIPTION OF WORK: 6 x�d sk+-e,0 <br /> ------------------------------------------------------------------------------------------------------------------- <br /> Z0�1Il�'G REVIEW BY: � �--- DATE APPROVED: 5-�-0 3 <br /> EUII�DING REV�W BY: DATE APPROVED: s-o,0 3 <br /> FEES TO BE CHARGED: Misc. Fees Calculated By: <br /> PER�VIIT Yes ✓ No <br /> pLAN REVIEW Yes ,/ No SEWER CONNECTION <br /> STATE SURCHARGE Yes �/ No WATERCONNECTTON <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITEINSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ------------------------------------------------------------------------------------------------------------------- <br /> Z0��1G CHECK LIST Zoning District: <br /> Fire Department: Post Office: School District: <br /> Lot Area: Sq.ft. Acres Widch Depth <br /> Survey Submitted: Yes_�_ No Date of Survey: "]-�+'7 � <br /> Proposed Setbacks: <br /> Front (Lake): � Z-o�' Right Side: 80 ` t <br /> Rear (Street): �� � Left Side: �s�� <br /> Adjacent Structures: 30' Wetland: N/�1 <br /> Building Hei;ht: Def. Hgt. `j � Peak Hgt. (o ' <br /> Lo[Covera�e: n.1� <br /> Gradin;: Staff Approval Date: — By: Council Approval Date: <br /> Septic: Staff Approval Date: —' By: <br /> Zoning File: # — Resolution: #� Resolution Date: <br /> Shoreland District: �„oS <br /> Av�. Setback: .� /�9 Bluff Setback: �.J/.9 I.ot Coverage: <br /> Existino Proposed <br /> Hardcover: 0-75' <br /> 7�-2�0' D,j� <br /> 2�0-500' <br /> 500-1000' <br /> Hardcover Variance Required: Yes No� Date of Council Approval: <br /> RE�iARKS (in house): <br /> 7 <br />